2016-11-10T12:53:10-06:00 2015-12-31 113518842 MARKS PANETH LLP 685 THIRD AVENUE NEW YORK NY 10017 990 2015-01-01 135669201 PUBLIC HEALTH SOLUTIONS PUBL 6466196400 40 WORTH STREET 5TH FLOOR NEW YORK NY 10013 STEVEN LAWITTS EXECUTIVE VP/COO 6466196400 2016-11-10 1 ROBERT R LYONS P00227472 2125038800 2015 2017-02-10 21:41:12Z LISA DAVID 40 WORTH STREET 5TH FLOOR NEW YORK NY 10013 207085237 0 X WWW.HEALTHSOLUTIONS.ORG X 1957 NY THE MISSION OF PHS IS TO IMPROVE THE HEALTH OF THE PUBLIC IN NYC AND BEYOND (SEE SCHEDULE O). 21 21 768 23 0 0 203234974 198171322 8679187 8784561 17840 21467 0 0 211932001 206977350 0 0 0 0 46055880 43303948 10000 10000 326170 163045086 163259503 209110966 206573451 2821035 403899 34698605 47679025 57533016 70455193 -22834411 -22776168 X PUBLIC HEALTH SOLUTIONS IS A LEADER IN THE FIELDS OF PUBLIC HEALTH AND SOCIAL SERVICES, MERGING RESEARCH AND ACTION FOCUSING ON CREATING INNOVATIVE AND SCALABLE SOLUTIONS TO SIGNIFICANT PUBLIC HEALTH PROBLEMS (SEE SCHEDULE O FOR MORE INFORMATION). 1 0 118085577 CONTRACTING AND MANAGEMENT SERVICES (CAMS) -- FORMERLY HIV CARE SERVICES -- HAS AN ESTABLISHED HISTORY OF ADMINISTRATIVE EXCELLENCE BROUGHT TO BEAR ON THE FIGHT AGAINST HIV/AIDS. IN 2015, THE DIVISION WAS RENAMED CAMS TO REFLECT THE EXPANDED SCOPE OF WORK THAT HAD BEEN UNDERTAKEN IN RECENT YEARS, ADDRESSING A BROADER ARRAY OF PUBLIC HEALTH AND DATA STRATEGY NEEDS, IN ADDITION TO HIV/AIDS. RYAN WHITE/HIV PREVENTION: SINCE 1991, CAMS HAS SERVED AS THE MASTER CONTRACTOR TO ADMINISTER HIV-RELATED FUNDING GRANTED TO NYCDOHMH -- FROM RYAN WHITE PART A, THE CENTERS FOR DISEASE CONTROL AND PREVENTION, AND THE CITY OF NEW YORK -- OF OVER $2 BILLION DOLLARS. DURING THIS PERIOD, CAMS ISSUED REQUESTS FOR PROPOSALS/APPLICATIONS THAT RESULTED IN CONTRACTS WITH HUNDREDS OF COMMUNITY-BASED ORGANIZATIONS, HOSPITALS AND CLINICS; PAID THEM ON A TIMELY BASIS; MONITORED THEIR CONTRACTS AND THEIR FINANCES; CONDUCTED DUE DILIGENCE TO INSURE THAT FUNDS WERE SPENT PURSUANT TO CONTRACT REQUIREMENTS; AND REPORTED ON SERVICES AND EXPENDITURES. PROCUREMENTS ARE CARRIED OUT AT THE DIRECTION OF NYCDOHMH. THIS WORK IS PERFORMED UNDER A "MASTER CONTRACT" WITH NYCDOHMH THAT HAS BEEN AWARDED TO PHS/CAMS THROUGH REPEATED RE-COMPETITIONS. IN 2015, CAMS-ADMINISTERED CONTRACTS RECEIVED FEDERAL RYAN WHITE FUNDING (PART A AND MINORITY AIDS INITIATIVE, ADMINISTERED BY THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES' HEALTH RESOURCES AND SERVICES ADMINISTRATION, OR HRSA), AS WELL AS FUNDING FROM THE FEDERAL CENTERS FOR DISEASE CONTROL AND NEW YORK CITY (FOR HIV PREVENTION), AND FROM THE U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT'S HOUSING OPPORTUNITIES FOR PEOPLE WITH AIDS (HOPWA) PROGRAM.DURING 2015, CAMS MANAGED 363 RYAN WHITE AND HIV PREVENTION CONTRACTS ON BEHALF OF NYCDOHMH. ACTIVITIES COVERED BY THESE CONTRACTS INCLUDE MENTAL HEALTH SERVICES, PRIMARY CARE AND MEDICATIONS, HIV TESTING, HOUSING SERVICES, LEGAL SERVICES, FOOD AND NUTRITION, HARM REDUCTION AND SUBSTANCE ABUSE TREATMENT, COMMUNITY MOBILIZATION INTERVENTIONS FOR HIV PREVENTION, STRUCTURAL AND SYSTEM-LEVEL INTERVENTIONS FOR HIV PREVENTION, CONDOM DISTRIBUTION, MEDICAL CASE MANAGEMENT, HOME CARE, INJECTION DRUG USERS HEALTH ALLIANCE, HIV HEALTH LITERACY FOR SENIORS, AND SEXUAL AND BEHAVIORAL HEALTH SERVICES FOR PRIORITY POPULATIONS MOST HEAVILY IMPACTED BY HIV. IN DECEMBER 2015, CAMS ALSO BECAME THE MASTER CONTRACTOR FOR THE TRICOUNTY REGION OF THE RYAN WHITE SERVICE AREA, ASSUMING RESPONSIBILITY FOR THE ADMINISTRATION OF THE PORTION OF THE NEW YORK AREA'S RYAN WHITE AWARD THAT COVERS THE "TRI-COUNTY" AREA OF WESTCHESTER, ROCKLAND AND PUTNAM COUNTIES. THE REGION HAD PREVIOUSLY BEEN MANAGED THROUGH A MASTER CONTRACT BETWEEN NYCDOHMH AND THE WESTCHESTER COUNTY DEPARTMENT OF HEALTH. TRI-COUNTY FUNDING SUPPORTS 21 SUBCONTRACTS AT 13 ORGANIZATIONS, VALUED AT $4.1 MILLION DOLLARS. CAMS REIMBURSES RYAN WHITE AND PREVENTION CONTRACTORS USING A CUTTING-EDGE APPROACH TO PERFORMANCE EVALUATION, ALIGNING PAYMENT WITH THE DELIVERY OF CONTRACTUALLY-REQUIRED SERVICES. UNLIKE MOST RYAN WHITE PAYERS, CAMS' PERFORMANCE-BASED PAYMENT SYSTEM REIMBURSES CONTRACTORS FOR REPORTED SERVICES OR ENROLLMENTS, ACCORDING TO A NEGOTIATED FEE SCHEDULE RATHER THAN REPORTED EXPENDITURES. USING A COMBINATION OF AUTOMATED AND IN-PERSON REVIEWS, CAMS ANALYZES REPORTED DATA TO DETERMINE ALLOWABLE PAYMENT, PRODUCING DETAILED EXPLANATORY REPORTS FOR CONTRACTORS. IN PERFORMANCE-BASED CONTRACTING, CAMS STAFF DOES NOT MONITOR ADHERENCE TO APPROVED BUDGET OR EXPENDITURES, BUT DOES AUDIT DOCUMENTATION OF SERVICES OR DELIVERABLES TO INSURE COMPLIANCE WITH PROGRAMMATIC AND DOCUMENTATION REQUIREMENTS. IN ADDITION, CAMS REVIEWS AND ANALYZES CONTRACTORS' AUDITED FINANCIAL STATEMENTS AND AN INFRASTRUCTURE SELF-ASSESSMENT QUESTIONNAIRE TO ENSURE THAT FUNDED ORGANIZATIONS ARE CAPABLE OF RESPONSIBLY MANAGING FEDERAL FUNDS.CAMS MANAGES ITS HIV/AIDS FUNDS AGGRESSIVELY TO MAXIMIZE SPENDING ON BUDGETED SERVICES. SEVERAL TIMES A YEAR, CONTRACTOR SPENDING IS ANALYZED, WITH THE RESULT THAT AWARDS OF UNDER-PERFORMERS ARE REDUCED AND FUNDS ARE REDIRECTED TO STRONGER PERFORMERS, WHO ARE ABLE TO SPEND MORE DURING THE YEAR. THIS APPROACH HAS LED TO SPENDING LEVELS OF NEARLY 100% IN THE PAST THREE YEARS, WINNING PRAISE FROM FEDERAL FUNDERS AND COMMUNITY PLANNERS AND AVOIDING STEEP FUNDING PENALTIES.CAMS CONTINUES TO SERVE AS A RESOURCE FOR HIV/AIDS FUNDERS AND SERVICE PROVIDERS. AS MASTER CONTRACTOR FOR THE LARGEST HIV/AIDS RYAN WHITE GRANTS IN THE U.S., CAMS' EXPERIENCE CARRIES CONSIDERABLE INFLUENCE NATIONALLY. STAFF PRESENT AT CONFERENCES AND PUBLISH ARTICLES ON CAMS PAYMENT AND DATA MODELS. CAMS IS UNIQUELY QUALIFIED TO PROVIDE PROGRAMMATIC AND FINANCIAL INFORMATION TO THE COMMUNITY PLANNING BODY THAT SETS PRIORITIES AND BUDGETS FOR RYAN WHITE FUNDING, AND DOHMH LOOKS TO PHS/CAMS FOR AGILE CONTRACTING OPERATIONS AS WELL AS COMPREHENSIVE ANALYSIS AND REPORTING. MASTER ADMINISTRATOR CONTRACT: IN 2015, CAMS WAS AWARDED A NEW $80 MILLION, FOUR-YEAR MASTER ADMINISTRATOR CONTRACT BY NYCDOHMH TO PROCURE, MANAGE AND OVERSEE A DIVERSE ARRAY OF PUBLIC HEALTH PROGRAMS. IN CONNECTION WITH THIS CONTRACT, CAMS BEGAN THE PROCESS OF ISSUING THE FOLLOWING REQUESTS FOR PROPOSALS IN 2015, FOR CONTRACTS THAT WILL BEGIN IN 2016:- CANCER PREVENTION NAVIGATION PROGRAM AND MOBILE MAMMOGRAPHY- DECREASING DEPRESSION AND INCREASING SOCIAL CONNECTEDNESS AMONG NYC'S OLDER ADULTS - DEVELOPMENTAL DISABILITY-CLINIC SERVICES- DEVELOPMENTAL DISABILITY VOCATIONAL SERVICES- EXPANDING BUPRENORPHINE ACCESS IN PRIMARY CARE SETTINGS - FAMILY PLANNING SERVICES - FORENSIC ASSERTIVE COMMUNITY TREATMENT (FACT) - HIV PREVENTION- IMPROVING HEALTH EQUITY AND MATERNAL AND INFANT HEALTH OUTCOMES, COMPONENTS A & B - MANAGING ASTHMA IN DAY CARE SETTINGS - NEW YORK CITY SUPPORT (365/24/7 CRISIS INTERVENTION AND PREVENTION HOTLINE)- PROMOTING SEXUAL AND REPRODUCTIVE JUSTICE THROUGH COMMUNITY-BASED ACTIVITIES - RECREATIONAL AND SOCIALIZATION SERVICES FOR INDIVIDUALS WITH AUTISM SPECTRUM DISORDERS - TECHNICAL ASSISTANCE TO NEW YORK CITY HOSPITALS TO ACHIEVE "BABY-FRIENDLY" DESIGNATION TO PROMOTE BREASTFEEDING CRISIS MANAGEMENT SYSTEMS (CURE VIOLENCE INITIATIVE): IN 2015, CAMS CONTRACTED WITH GANGSTAS MAKING ASTRONOMICAL COMMUNITY CHANGE (GMACC) AND MANUP!, INC. TO PROVIDE ADMINISTRATIVE, FINANCIAL, TECHNICAL SUPPORT AND CAPACITY-BUILDING SERVICES INCLUDING: - OVERSEEING AND MANAGING FISCAL FUNCTIONS, INCLUDING PROCUREMENT AND MAINTENANCE OF AN ACCOUNTING SYSTEM AND BANK ACCOUNTS;- APPROVING AND PAYING PROGRAM EXPENSES AND ASSISTING IN PREPARING AND OVERSEEING PROGRAM BUDGET;- ASSISTING IN COMPARING ACTUAL SPENDING AND SPENDING PROJECTIONS TO BUDGET FOR THE PURPOSES OF BUDGET MODIFICATIONS;- PROVIDING STRATEGIC SUPPORT AND FACILITATION OF COORDINATION AND COMPLETION OF TASKS BETWEEN GMACC AND MANUP!, INC. AND NYCDOHMH; - PROVIDING GENERAL ADVICE, OVERSIGHT AND TECHNICAL ASSISTANCE TO ENSURE COMPLIANCE WITH CRISIS MANAGEMENT SYSTEMS PROGRAM REQUIREMENTS, INCLUDING CORPORATE GOVERNANCE, POLICIES AND PRACTICES AND GRANTS MANAGEMENT;- ADVISING AND ASSISTING IN ALL HUMAN RESOURCES MATTERS, INCLUDING THE DEVELOPMENT OF A HUMAN RESOURCES POLICIES AND PROCEDURES MANUAL; AND- ADVISING AND ASSISTING IN ESTABLISHING AN AGREEMENT WITH AN OUTSIDE PAYROLL PROCESSING FIRM TO PAY GMACC'S AND MANUP!, INC.'S EMPLOYEES' SALARIES AND TO WITHHOLD AND DEPOSIT SOCIAL SECURITY, MEDICARE, EMPLOYMENT, WORKERS' COMPENSATION AND OTHER PAYROLL TAXES, AND FRINGE BENEFIT CONTRIBUTIONS, IF ANY, IN COMPLIANCE WITH APPLICABLE LAWS, RULES AND REGULATIONS. BOTH GMACC AND MANUP!, INC. RECEIVED NYC GOVERNMENT-SPONSORED CRISIS MANAGEMENT SYSTEMS FUNDING, INCLUDING FUNDING FOR THE CURE VIOLENCE INITIATIVE, AN EVIDENCE-BASED PUBLIC HEALTH APPROACH TO GUN VIOLENCE PREVENTION. CURE VIOLENCE IDENTIFIES AND MEDIATES CONFLICTS AMONG HIGH-RISK YOUTH IN A TARGET AREA, MENTORS HIGH-RISK YOUTH TO CHANGE BEHAVIORS TOWARD GUN VIOLENCE AND MOBILIZES COMMUNITIES TO RAISE AWARENESS ABOUT VIOLENCE, PROMOTING COMMUNITY NORMS THAT REJECT VIOLENCE.DELIVERY SYSTEM REFORM INCENTIVE PAYMENT PROGRAM (DSRIP): CAMS APPLIED FOR AND WAS AWARDED A CONTRACT IN 2015 TO SERVE AS THIRD-PARTY ADMINISTRATOR TO SUPPORT HEALTHCARE INNOVATION FOR NYC HEALTH + HOSPITAL'S PERFORMING PROVIDER SYSTEM (PPS), ONE OF NEW YORK STATE'S LARGEST DSRIP PROVIDERS. WORK WILL BEGIN IN 2016. 33575670 PUBLIC HEALTH EMERGENCY PREPAREDNESS AND HOSPITAL PREPAREDNESS PROGRAM (PHEP-HPP): PUBLIC HEALTH SOLUTIONS IS THE FISCAL AND ADMINISTRATIVE AGENT FOR NYCDOHMH FOR THE ALIGNED PHEP-HPP COOPERATIVE AGREEMENTS. PHEP PROVIDES FUNDS FOR STATES AND DIRECTLY-FUNDED CITIES TO PREPARE FOR AND RESPOND TO EMERGING PUBLIC HEALTH THREATS, INCLUDING ACTS OF BIOTERRORISM, AND TO SUPPORT REGIONAL READINESS INITIATIVES. HPP SUPPORTS IMPROVEMENT OF SURGE CAPACITY AND ENHANCEMENT OF COMMUNITY AND HOSPITAL PREPAREDNESS FOR PUBLIC HEALTH EMERGENCIES. FISCAL AND ADMINISTRATIVE MANAGEMENT SERVICES PROVIDED BY PHS INCLUDE RECRUITMENT AND HIRING, CONTRACTS ADMINISTRATION AND MANAGEMENT, PROCUREMENT OF GOODS AND SERVICES, BUDGET MANAGEMENT AND ANALYSIS, AND DEVELOPMENT AND SUBMISSION OF ALL ADMINISTRATIVE AND FISCAL REPORTING DOCUMENTATION REQUIRED BY THE CDC, THE FEDERAL ENTITY THAT ADMINISTERS BOTH PROJECTS. 8867804 NEIGHBORHOOD WIC PROGRAM (WIC): ESTABLISHED MORE THAN 40 YEARS AGO, PUBLIC HEALTH SOLUTIONS' WIC PROGRAM, THE LARGEST WIC PROGRAM IN NEW YORK STATE, PROVIDES SUPPLEMENTAL FOODS, NUTRITION EDUCATION, BREASTFEEDING SUPPORT, AND COUNSELING ABOUT DIET AND EXERCISE TO OVER 40,000 LOW INCOME PREGNANT WOMEN, INFANTS AND CHILDREN (UP TO AGE FIVE) AT EIGHT WIC CENTERS THROUGHOUT NEW YORK CITY EVERY YEAR. IN 2015, PHS WAS AWARDED CONTINUED FUNDING TO SUPPORT THE PROGRAM IN RESPONSE TO ITS COMPETITIVE APPLICATION TO THE NYS DEPARTMENT OF HEALTH SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS AND CHILDREN (WIC). THE NEW FUNDING CYCLE BEGAN OCTOBER 1, 2015. WIC STAFF MONITORS PARTICIPANTS' HEIGHT AND WEIGHT; CHILDREN'S IMMUNIZATION STATUS; AND REFER THEM AS NEEDED FOR OTHER SOCIAL AND HEALTHCARE SERVICES. HEALTH INSURANCE FACILITATED ENROLLERS AND FOOD BENEFITS COUNSELORS ARE EMBEDDED AT A NUMBER OF PHS' WIC CENTERS TO PROVIDE ACCESS TO PUBLIC HEALTH INSURANCE AND FOOD STAMPS BENEFITS AND OTHER RESOURCES FOR THE FAMILIES SERVED BY THE PROGRAM. IN ADDITION, PUBLIC HEALTH SOLUTIONS DISTRIBUTES WIC CASH VOUCHERS ON BEHALF OF THE NYS DEPARTMENT OF HEALTH. THE VOUCHERS, WHICH ARE REDEEMED TO PURCHASE USDA-APPROVED FOOD ITEMS AT GROCERY STORES, CORNER STORES, AND PHARMACIES, BENEFIT THE LOCAL ECONOMY AS WELL AS WIC FAMILIES. IN 2015, PHS DISTRIBUTED APPROXIMATELY $43.5 MILLION IN FOOD BENEFITS TO CLIENTS AT ITS NEIGHBORHOOD WIC CENTERS. BECAUSE WIC VENDOR MANAGEMENT IS ALSO A PHS PROGRAM, PUBLIC HEALTH SOLUTIONS HAS A UNIQUE HANDLE ON THE CLIENT ("DEMAND") SIDE AS WELL AS THE VENDOR ("SUPPLY") SIDE OF WIC-RELATED ISSUES. (SEE PART III, LINE 4D, OTHER PROGRAM SERVICES FOR A DESCRIPTION OF THE WIC VENDOR MANAGEMENT PROGRAM.) 38523138 38523138 8784561 199052189 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 132 0 768 1 0 0 0 0 0 1 1 0 0 0 0 X 21 21 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA CT FL IL MI MN NJ NY WI X JOSEPH TRAPANI 6466196408 40 WORTH STREET 5TH FLOOR NEW YORK NY 10013 DEBORAH M SALE CHAIRPERSON 3.00 X X 0 0 0 JO IVEY BOUFFORD VICE CHAIR 1.00 X X 0 0 0 WILLIAM J HIBSHER VICE CHAIR 2.00 X X 0 0 0 SUSANA MORALES SECRETARY (FORMER) 1.00 X X 0 0 0 RAYMOND P JONES SR TREASURER 2.00 X X 0 0 0 MARY BASSETT BOARD MEMBER 1.00 X 0 0 0 GERRARD P BUSHELL BOARD MEMBER 2.00 X 0 0 0 CHRISTINA CHANG SECRETARY 1.00 X X 0 0 0 EMME LEVIN DELAND BOARD MEMBER (FORMER) 1.00 X 0 0 0 RAYMOND FINK BOARD MEMBER 1.00 X 0 0 0 LINDA FRIED BOARD MEMBER 1.00 X 0 0 0 FLORENCE FRUCHER BOARD MEMBER 1.00 X 0 0 0 GEORGE GARFUNKEL BOARD MEMBER 2.00 X 0 0 0 BARBARA A GREEN BOARD MEMBER 2.00 X 0 0 0 DAVID HANSELL BOARD MEMBER 1.00 X 0 0 0 PHYLLIS HARRISON-ROSS BOARD MEMBER 1.00 X 0 0 0 ROBERT KAUFMAN BOARD MEMBER 2.00 X 0 0 0 WILLIAM KELLER BOARD MEMBER (FORMER) 1.00 X 0 0 0 JOAN M LEIMAN BOARD MEMBER 2.00 X 0 0 0 RAMANATHAN RAJU BOARD MEMBER 1.00 X 0 0 0 CHRISTOPHER SHYER BOARD MEMBER 1.00 X 0 0 0 STEPHEN SIMCOCK BOARD MEMBER 2.00 X 0 0 0 SHOSHANNA SOFAER BOARD MEMBER 2.00 X 0 0 0 ANDREW J WEISENFELD BOARD MEMBER 1.00 X 0 0 0 ELLEN RAUTENBERG FORMER PRESIDENT & CEO 35.00 X 244822 0 14374 STEVEN NEWMAN EXECUTIVE VP & COO 35.00 X 262741 0 6424 LOUISE COHEN FORMER VP - PUBLIC HEALTH PROGRAM 35.00 X 138174 0 2791 JOSEPH TRAPANI DEPUTY TREASURER/CFO 35.00 X 201483 0 6110 MARY ANN CHIASSON VP - RESEARCH & EVALUATION 35.00 X 189012 0 18828 RACHEL MILLER VP - HIV PROGRAMS/SPECIAL 35.00 X 199511 0 24086 JANE LEVINE VP - LEGAL AFFAIRS/GENERAL 35.00 X 191615 0 3998 BENJAMIN KIM VP - STRATEGIC DEVELOPMENT 35.00 X 182584 0 8098 PETER JENSEN CHIEF INFORMATION OFFICER 35.00 X 154653 0 11910 THOMAS SALVO VP - HUMAN RESOURCES 35.00 X 180578 0 21399 DAVID LISA PRESIDENT & CEO 35.00 X 91587 0 18546 KATHLEEN FITZPATRICK COMPTROLLER 35.00 X 178472 0 25564 SANDRA WILLIAMS DIRECTOR OF OPERATIONS 35.00 X 143895 0 7530 BETTINA CARROLL DIRECTOR OF PROGRAMS & CON 35.00 X 132868 0 16276 GIPSON MAYNA DIRECTOR-CONTRACTS MANAGEMENT 35.00 X 132562 0 12229 KALOO GURUCHARRAN DIRECTOR OF FIN. AND OPERATIONS-CAMS 35.00 X 132126 0 8345 2756683 0 206508 15 0 1 0 BECTON DICKINSON AND COMPANY 5859 FARINON DR SAN ANTONIO TX 78249 MEDICAL TECHNOLOGY 729052 BANDUJO ADVERTISING AND DESIGN PO BOX 536259 PHILADELPHIA PA 15253 ADVERTISING 503448 TETRA TECH INC PO BOX 911642 DENVER CO 80291 TECHNOLOGY SERVICES 456242 DCF ADVERTISING 35 W 36TH STREET NEW YORK NY 10018 IT SOLUTIONS - WEB-BASE ASSESSMENT AND T 361850 PROSKAUER ROSE LLP 11 TIMES SQUARE NEW YORK NY 10036 LEGAL SERVICES 327494 5 240046 185258595 12672681 198171322 MEDICAID/THIRD PARTY 624000 4416486 4416486 THIRD PARTY SUPPORT 624100 2775245 2775245 OTHER REVENUE 900099 1578750 1578750 THIRD PARTY SUPPORT 900099 14080 14080 8784561 21467 21467 107887 240046 107887 0 206977350 8784561 0 21467 X 2063189 548947 1389265 124977 32972202 30029323 2892867 50012 1626862 1458697 163801 4364 3427079 3032110 379694 15275 3214616 2814689 384443 15484 311444 311444 178096 178096 10000 10000 21125253 20933040 127318 64895 2431998 2431998 6564191 6331714 202554 29923 605080 545160 59680 240 5233906 4656088 577818 500304 485879 14425 59068 55033 387 3648 238571 197099 41472 285345 213728 71617 SUBCONTRACTOR PAYMENTS 123516653 123516653 MAINTENANCE AND REPAIRS 1115638 960494 154291 853 RECRUITING AND TRAINING 589311 386068 202248 995 SUNDRY 504645 455469 43672 5504 206573451 199052189 7195092 326170 23164223 25236713 8955499 18723763 1351638 1049587 85955 90933 5581968 4693310 458428 888658 682862 1689371 34698605 47679025 24436822 32863448 1400000 3400000 31696194 34191745 57533016 70455193 X -24089572 -23433817 1255161 393046 264603 -22834411 -22776168 34698605 47679025 X 403899 -345656 X X 0 1 X 1 1 1 X 210961523 196756633 194246808 203234974 198193324 1003393262 877132 593412 615982 561849 488462 3136837 211838655 197350045 194862790 203796823 198681786 1006530099 1006530099 30807 19189 13676 17840 21467 102979 1006633078 42603033 0.99990 0.99990 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 66670 0 0 66670 0 PART II-B, LINE 1: TO MONITOR AND INFORM PUBLIC HEALTH SOLUTIONS OF THE INTRODUCTION AND PROCESS OF BILLS OF INTEREST, ESPECIALLY IN THE HEALTH AND HUMAN SERVICES FIELD. TO ACT AS AN INTERFACE BETWEEN PUBLIC HEALTH SOLUTIONS AND STATE GOVERNMENT, IN GENERAL, PARTICULARLY THE HEALTH DEPARTMENT, THE OFFICE OF CHILDREN AND FAMILY SERVICES, AND THE NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE, NEW YORK CITY COUNCIL AND HUMAN RESOURCES ADMINISTRATION, AND THE DEPARTMENT OF SOCIAL SERVICES AS REQUESTED FROM TIME TO TIME. 0 264603 927 265530 0.99650 0.00350 0 0 3861005 3660896 200109 1279350 1032414 246936 441613 441613 888658 ADVANCES FROM GOVERNMENT AND OTHER AGENCIES 11395303 PENSION LIABILITY 22796442 34191745 X 207465812 488462 488462 206977350 0 206977350 207061913 488462 488462 206573451 0 206573451 PART X, LINE 2: PUBLIC HEALTH SOLUTIONS BELIEVES IT HAS NO UNCERTAIN INCOME TAX POSITIONS AS OF DECEMBER 31, 2015 AND 2014 IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION ("ASC") TOPIC 740 ("INCOME TAXES"), WHICH PROVIDES STANDARDS FOR ESTABLISHING AND CLASSIFYING ANY TAX PROVISIONS FOR UNCERTAIN TAX POSITIONS. PUBLIC HEALTH SOLUTIONS IS NO LONGER SUBJECT TO FEDERAL OR STATE AND LOCAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS ENDED BEFORE 2012. X X X 0 WK PLANNING LTD 207 EAST 37TH STREET 3K NEW YORK NY 10016 EVENT PLANNER 1 347933 10000 337933 347933 10000 337933 CA CT DC FL IL MI MN NJ WI PROJECT #496 347933 240046 107887 10410 41250 13825 42402 347933 240046 107887 10410 41250 13825 42402 107887 0 X X X X X X 0 0 0 0 0 0 0 0 0 ELLEN RAUTENBERG FORMER PRESIDENT & CEO 244822 0 0 0 0 0 10062 0 4312 0 259196 0 0 0 STEVEN NEWMAN EXECUTIVE VP & COO 262741 0 0 0 0 0 5332 0 1092 0 269165 0 0 0 JOSEPH TRAPANI DEPUTY TREASURER/CFO 201483 0 0 0 0 0 5166 0 944 0 207593 0 0 0 MARY ANN CHIASSON VP - RESEARCH & EVALUATION 189012 0 0 0 0 0 7575 0 11253 0 207840 0 0 0 RACHEL MILLER VP - HIV PROGRAMS/SPECIAL 199511 0 0 0 0 0 7449 0 16637 0 223597 0 0 0 JANE LEVINE VP - LEGAL AFFAIRS/GENERAL 191615 0 0 0 0 0 2827 0 1171 0 195613 0 0 0 BENJAMIN KIM VP - STRATEGIC DEVELOPMENT 182584 0 0 0 0 0 1960 0 6138 0 190682 0 0 0 PETER JENSEN CHIEF INFORMATION OFFICER 154653 0 0 0 0 0 5202 0 6708 0 166563 0 0 0 THOMAS SALVO VP - HUMAN RESOURCES 180578 0 0 0 0 0 4154 0 17245 0 201977 0 0 0 KATHLEEN FITZPATRICK COMPTROLLER 178472 0 0 0 0 0 7314 0 18250 0 204036 0 0 0 SANDRA WILLIAMS DIRECTOR OF OPERATIONS 143895 0 0 0 0 0 6063 0 1467 0 151425 0 0 0 PART I, LINE 1: DESCRIPTION OF THE ORGANIZATION'S MISSION OR MOST SIGNIFICANT ACTIVITIES: THE MISSION OF PUBLIC HEALTH SOLUTIONS (PHS) IS TO IMPROVE THE HEALTH OF THE PUBLIC IN NEW YORK CITY AND BEYOND THROUGH SERVICE DELIVERY, RESEARCH, CAPACITY-BUILDING AND POLICY ANALYSIS. ONE OF THE LARGEST NONPROFITS IN NEW YORK CITY, PHS ADDRESSES CRITICAL PUBLIC HEALTH ISSUES SUCH AS FOOD SECURITY AND NUTRITION; WOMEN'S REPRODUCTIVE HEALTH; HIV PREVENTION AND CARE; HEALTHCARE ACCESS AND QUALITY; CHILD DEVELOPMENT; AND TOBACCO CONTROL. A NATIONALLY RECOGNIZED PUBLIC HEALTH INSTITUTE, PHS HAS A LONG HISTORY OF RESEARCH, PROGRAM, POLICY, AND INFRASTRUCTURE SUCCESSES THAT HAVE RESULTED IN IMPROVED HEALTH OUTCOMES ACROSS A RANGE OF PUBLIC HEALTH AREAS. ITS SERVICE DELIVERY PROGRAMS ANNUALLY SERVE CLOSE TO 80,000 LOW-INCOME AND AT-RISK INDIVIDUALS AND FAMILIES IN NEW YORK. FOR MORE THAN 50 YEARS, PHS HAS LED THE QUEST FOR INNOVATION AND PROGRESS IN COMMUNITY HEALTH THROUGH DIRECT AND CONTRACTED SERVICES TO IMPROVE POPULATION HEALTH, WITH A FOCUS ON DISPARITIES IN ACCESS AND OUTCOMES; CAPACITY- AND ORGANIZATION-BUILDING SUPPORT FOR THE NONPROFIT AND GOVERNMENTAL SECTORS; AND CUTTING-EDGE RESEARCH AND EVALUATION ACROSS A RANGE OF PUBLIC HEALTH AREAS. PART III, LINE 1: DESCRIPTION OF THE ORGANIZATION'S MISSION: PUBLIC HEALTH SOLUTIONS IS A LEADER IN THE FIELD OF PUBLIC HEALTH, MERGING RESEARCH AND ACTION AND FOCUSING ON CREATING INNOVATIVE AND SCALABLE SOLUTIONS TO SIGNIFICANT PUBLIC HEALTH PROBLEMS. AS ONE OF NEW YORK CITY'S LARGEST NONPROFITS, PHS COLLABORATES WITH CITY, STATE, AND FEDERAL AGENCIES AS WELL AS CHARITABLE FOUNDATIONS IN THE DEVELOPMENT AND IMPLEMENTATION OF PROGRAMS, AND IN THE EVALUATION OF PROGRAMS TO ENSURE EFFECTIVENESS. PHS ALSO PROVIDES TECHNICAL, FISCAL AND MANAGEMENT ASSISTANCE TO COMMUNITY-BASED ORGANIZATIONS, CITY GOVERNMENT AGENCIES AND NONPROFIT START-UPS, ENABLING THEM TO ENHANCE THEIR EFFECTIVENESS AND EFFICIENTLY MANAGE FUNDS. THE SERVICES PHS PROVIDES TO GOVERNMENT AGENCIES, NONPROFIT ORGANIZATIONS AND OTHERS INCLUDE ADMINISTRATIVE AND FISCAL MANAGEMENT, CONTRACTING, RECRUITMENT, GRANTS MANAGEMENT, HUMAN RESOURCES, PURCHASING, AND INFORMATION TECHNOLOGY. FORM 990, PART III, LINE 2 CULTURE AND HIV RISK IN A DIVERSE POPULATION (NIMHD/COLUMBIA UNIVERSITY SUBCONTRACT) A CRITICAL ASPECT OF SEXUAL BEHAVIOR AMONG YOUNG MEN WHO HAVE SEX WITH MEN (YMSM) IS THE PROCESS OF SEXUAL SOCIALIZATION - THE PROCESS BY WHICH INDIVIDUALS GAIN KNOWLEDGE, ATTITUDES, AND NORMS ABOUT SEXUALITY, SEXUAL BEHAVIOR, AND SEXUAL RISK. SEXUAL SCRIPTS THEORY PROVIDES A FRAMEWORK TO UNDERSTAND THE SEXUAL SOCIALIZATION PROCESS, SPECIFICALLY HOW INDIVIDUALS RECEIVE CULTURAL SCENARIOS FROM EXTERNAL SOURCES (CULTURAL SCRIPTS), INTERPRET THEM (INTRAPSYCHIC SCRIPTS), AND ENACT THEM WITH SEXUAL PARTNERS (INTERPERSONAL SCRIPTS). TO UNDERSTAND THIS PHENOMENON AND INFORM THE DEVELOPMENT OF, AND IMPROVE, EXISTING INTERVENTIONS FOR YMSM, THIS RESEARCH STUDY WILL CONDUCT MIXED-METHODS INTERVIEWS WITH AN ETHNICALLY DIVERSE SAMPLE OF 160 URBAN YMSM. THE STUDY TEAM WILL EXAMINE SOURCES OF SEXUAL INFORMATION RETROSPECTIVELY (LIFETIME AND SIX MONTHS PRIOR TO STUDY ENROLLMENT) AND PROSPECTIVELY (6, 12, AND 18 MONTHS FOLLOWING STUDY ENROLLMENT). FACILITATED ENROLLMENT FOR THE AGED, BLIND AND DISABLED PHS LAUNCHED FACILITATED ENROLLMENT FOR THE AGED, BLIND, DISABLED (FE-ABD), A FIVE-YEAR INITIATIVE FUNDED BY THE NEW YORK STATE DEPARTMENT OF HEALTH. THE FE-ABD PROGRAM PROVIDES EDUCATION AND PUBLIC HEALTH INSURANCE APPLICATION ASSISTANCE TO INDIVIDUALS AGED 65 YEARS OR OLDER, CERTIFIED BLIND INDIVIDUALS AND CERTIFIED DISABLED INDIVIDUALS IN NEW YORK CITY. PHS' ENROLLMENT FACILITATORS SCREEN INDIVIDUALS FOR MEDICAID AND MEDICAID-RELATED PROGRAMS, SUBMIT APPLICATIONS TO THE NYC HUMAN RESOURCES ADMINISTRATION (HRA), AND FOLLOW UP TO ENSURE THE APPLICATIONS ARE PROCESSED SUCCESSFULLY. FE-ABD SITES ARE HANDICAP-ACCESSIBLE AND SPREAD OUT ACROSS NYC'S FIVE BOROUGHS. PHS IS THE LEAD AGENCY FOR THE FE-ABD PROGRAM, PROVIDING TRAINING, OVERSIGHT, AND TECHNICAL ASSISTANCE TO A NETWORK OF SUBCONTRACTORS THAT PROVIDE SERVICES FOR THE ABD POPULATION. IN ADDITION, ALL PHS' NAVIGATORS AND ENROLLMENT FACILITATORS ARE CROSS-TRAINED TO BOTH ASSIST CLIENTS WITH APPLICATIONS THROUGH THE NY STATE OF HEALTH MARKETPLACE AND ASSIST THE ABD POPULATION AS THEY APPLY FOR PUBLIC HEALTH INSURANCE THROUGH HRA. IMPROVING THE NUTRITIONAL HEALTH OF YOUNG CHILDREN AND FAMILIES IN EAST HARLEM THE NYC DEPARTMENT OF HEALTH AND MENTAL HEALTH (NYCDOHMH) AND GROWNYC WILL MERGE THEIR EXPERTISE AND APPROACHES TO IMPROVE HEALTHY FOOD CONSUMPTION OVER A THREE-YEAR PERIOD, IN A RESEARCH TRIAL AIMED AT CAREGIVERS AND THEIR CHILDREN ATTENDING PRE-K - FIRST GRADE IN EAST HARLEM PUBLIC ELEMENTARY SCHOOLS. THE INTERVENTION WILL HAVE TWO COMPONENTS, ONE.IN THE SCHOOLS, AND ONE IN THE COMMUNITY. A CAREGIVER AND PRE-K - 1ST GRADE NUTRITION CURRICULUM WILL BE OFFERED CONCURRENTLY IN FIVE SCHOOLS: CLASSES WILL RECEIVE NUTRITION INFORMATION WITH COMMON CORE INTEGRATION AND CAREGIVERS WILL BE OFFERED A WEEKLY FREE HOT BREAKFAST WITH A SHORT HEALTH CURRICULUM AND DISTRIBUTION OF HEALTH BUCKS TO BUY FRESH FOOD BOXES. IN THE COMMUNITY, FRESH FOOD BOX DISTRIBUTION SITES AND YOUTHMARKET FARM STANDS WILL BE SET UP TO MAKE FRESH, LOCAL FOODS AVAILABLE TO THE ENTIRE COMMUNITY AND SPECIFICALLY PROMOTED IN THE COHORT SCHOOLS. TEEN-LED EDUCATION WILL REACH HUNDREDS OF COMMUNITY MEMBERS, COVERING TOPICS RANGING FROM HIGH BLOOD PRESSURE TO BETTER CHOICES AT FAST FOOD RESTAURANTS, AND COOKING DEMOS AND INCENTIVES WILL INCREASE LIKELIHOOD THAT SHOPPERS WILL PREPARE FOOD AT HOME. PHS IS SUBCONTRACTED TO EVALUATE THIS PROGRAM. JAMAICA SOUTHEAST QUEENS HEALTHY START PHS LAUNCHED THE JAMAICA SOUTHEAST QUEENS HEALTHY START (J/SQHS) PROGRAM, A FOUR-YEAR, NINE- MONTH INITIATIVE FUNDED BY A U.S. HEALTH RESOURCES AND SERVICE ADMINISTRATION HEALTHY START LEVEL 1 GRANT. J/SQHS WORKS TO ELIMINATE DISPARITIES IN PERINATAL HEALTH IN NEIGHBORHOODS OF SOUTHEAST QUEENS. J/SQHS ACCEPTS REFERRALS OF ALL PREGNANT AND NEWLY PARENTING WOMEN AND, THROUGH A CENTRALIZED SCREENING PROCESS, MATCHES THEM TO THE HOME-VISITING PROGRAM THAT BEST MEETS THEIR NEEDS AND PREFERENCES. VOLUNTARY HOME-VISITING AND GROUP SERVICES ARE AVAILABLE AT NO COST TO QUALIFIED PREGNANT WOMEN AND NEW PARENTS WHO CAN BENEFIT FROM ADDITIONAL SUPPORT. AS THE LEAD AGENCY, PHS IS MANAGING A NETWORK OF SUB-CONTRACTORS AND PARTNERS THAT PROVIDE HOME-VISITING SERVICES - NYCDOHMH'S NURSE-FAMILY PARTNERSHIP, SAFE SPACE HEALTHY FAMILIES JAMAICA, AND QUEENS COMPREHENSIVE PERINATAL COUNCIL CASE MANAGEMENT SERVICES - AND OVERSEEING THE CENTRALIZED INTAKE SYSTEM. J/SQHS ALSO MANAGES THE HEALTHY START COMMUNITY ACTION NETWORK, A NETWORK OF COMMUNITY MEMBERS, BOTH RESIDENTS AND ORGANIZATIONS THAT WORK TOGETHER AROUND A SHARED VISION AND GOALS TO IMPROVE MATERNAL AND INFANT HEALTH OUTCOMES. MOBILE MESSAGING INTERVENTION TO PRESENT NEW HIV PREVENTION OPTIONS FOR MSM IN COLLABORATION WITH THE FEDERAL CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC), EMORY UNIVERSITY, PHS, THE UNIVERSITY OF MICHIGAN, AND THE UNIVERSITY OF MINNESOTA WILL DEVELOP A NEW SET OF HIV PREVENTION MESSAGES BASED ON RIGOROUS PRELIMINARY QUALITATIVE STUDIES, REFLECTING THE CURRENT AGE OF COMBINATION BIOMEDICAL AND BEHAVIORAL PREVENTION. MOBILE TECHNOLOGY WILL BE USED TO TEST THE MESSAGES, AND TO PROVIDE LINKS BETWEEN TARGETED PREVENTION SERVICES AND SERVICE ACCESS POINTS IN ATLANTA, DETROIT, AND NEW YORK. THE PREVENTION APP THROUGH WHICH THE NEW MESSAGES WILL BE TESTED HAS ALREADY BEEN DEVELOPED, BUILDING ON A MIXED-METHODS FORMATIVE RESEARCH PROCESS THAT INCORPORATED THE INPUT OF ACADEMICS, COMMUNITY-BASED ORGANIZATIONS, AND HEALTH DEPARTMENTS. THE CONTENT OF THE NEW MESSAGES WILL BE GUIDED BY SOCIAL COGNITIVE THEORY. ONCE DEVELOPED, THE NEW MESSAGES WILL BE TESTED IN A DELAYED-ONSET DESIGN AMONG 1206 MEN WHO HAVE SEX WITH MEN (MSM), STRATIFIED BY HIV STATUS (HIV-POSITIVE AND HIV-NEGATIVE) AND, AMONG HIV-NEGATIVE MEN, BY SEXUAL RISK. OUTCOMES WILL BE SELF-REPORTED HIV PREVENTION AND RISK OUTCOMES, ASSESSED AT THE END OF A THREE-MONTH INTERVENTION PERIOD. PREP, IS IT FOR ME? FUNDED BY GILEAD, THIS ONLINE VIDEO CAMPAIGN WILL ADDRESS THREE SPECIFIC AREAS RELATED TO THE USE OF PREP (PRE-EXPOSURE PROPHYLAXIS) BY MSM AT RISK FOR HIV: 1) KNOWLEDGE OF PREP- WHAT IT IS, HOW IT WORKS, AND WHERE YOU GET IT; 2) CONCERNS ABOUT POTENTIAL SIDE EFFECTS, BOTH PHYSICAL AND PSYCHOLOGICAL, E.G. RISK DISINHIBITION; 3) PSYCHOSOCIAL BARRIERS RELATED TO PREP ADHERENCE AND SEX SHAMING BY OTHER GAY MEN AND THOSE GENERALLY CRITICAL OF THE GAY COMMUNITY. THE CONTENT OF THE VIDEO AND PRE-POST VIDEO SURVEYS, WHICH WILL MEASURE CHANGES IN PREP KNOWLEDGE AND INTENTION TO USE PREP AFTER WATCHING THE VIDEO, WILL BE INFORMED BY LITERATURE REVIEWS, FOCUS GROUPS, AND MEETINGS WITH LOCAL STAKEHOLDERS. THE CAMPAIGN WILL BE ADVERTISED WIDELY TO NYC MSM ON SOCIAL AND SEXUAL NETWORKING SITES AND THROUGH E-MAIL BLASTS TO COMMUNITY-BASED ORGANIZATIONS (CBOS) AND AIDS SERVICE ORGANIZATIONS (ASOS). THE ADS WILL CONTAIN LINKS TO THE CAMPAIGN WEBSITE THAT WILL HOUSE THE VIDEO, SURVEYS, AND A LINK TO NYCDOHMH'S PREP EDUCATIONAL WEBSITE AND THE NYC PREP PROVIDER DIRECTORY. VIDEO INFORMATION PROVIDER FOR HIV-ASSOCIATED NON-AIDS (VIP-HANA) SYMPTOMS PEOPLE LIVING WITH HIV/AIDS (PLWHA) FACE NEW CHALLENGES FROM HIV-ASSOCIATED NON-AIDS (HANA) CONDITIONS SUCH AS CARDIOVASCULAR DISEASE, OSTEOPOROSIS, COPD, AND DIABETES. AN INDIVIDUAL'S ABILITY TO SELF-MANAGE THE SYMPTOMS OF HIS OR HER HIV ILLNESS HAS BEEN SHOWN TO DECREASE SYMPTOM SEVERITY, IMPROVE QUALITY OF LIFE, REDUCE DISABILITY, INCREASE MEDICATION ADHERENCE, AND PROMOTE HEALTH. THIS NIH-FUNDED RESEARCH EXPANDS UPON INNOVATIVE PILOT WORK THAT DEVELOPED AND TESTED A WEB-BASED SYMPTOM REPORTING AND SELF-MANAGEMENT SYSTEM, VIDEO INFORMATION PROVIDER (VIP) FOR PLWHA. THE GOAL OF THIS STUDY IS TO DEVELOP AND TEST AN INTERVENTION, THE VIP-HANA SYSTEM, A WEB APPLICATION THAT DELIVERS SELF-CARE STRATEGIES TAILORED TO SYMPTOM REPORTING, HANA CONDITION(S) AND BY GENDER. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS PREPARED JOINTLY BY PUBLIC HEALTH SOLUTIONS' INDEPENDENT AUDITOR BASED ON THE INFORMATION GATHERED AS A RESULT OF THE YEAR-END AUDIT AND INFORMATION PROVIDED BY THE FISCAL DEPARTMENT WITH THE ASSISTANCE OF SENIOR MANAGERS FROM RELEVANT DEPARTMENTS, WHERE NECESSARY. A COMPLETE DRAFT IS THEN REVIEWED BY PUBLIC HEALTH SOLUTIONS' EXECUTIVE MANAGEMENT. THE DRAFT IS THEN PROVIDED TO THE AUDIT & COMPLIANCE COMMITTEE FOR THEIR REVIEW AND APPROVAL FOR PRESENTATION TO THE GOVERNING BOARD OF DIRECTORS. IT IS THEN DISTRIBUTED TO THE ENTIRE BOARD. FORM 990, PART VI, SECTION B, LINE 12C MEMBERS OF THE BOARD OF DIRECTORS ARE REQUIRED TO SIGN THE CONFLICT OF INTEREST STATEMENT AND MANAGEMENT MAINTAINS A RECORD OF ALL BOARD AFFILIATIONS. CONFLICT OF INTEREST SITUATIONS ARE PRECLUDED BY THE ADMINISTRATIVE PROCESSES IN PLACE AT PUBLIC HEALTH SOLUTIONS FOR ENTERING INTO CONTRACTS AND PURCHASING NON-CONTRACTED GOODS AND SERVICES. ALL CONTRACTING AND PURCHASING IS HANDLED BY APPROPRIATE PUBLIC HEALTH SOLUTIONS' STAFF IN ACCORDANCE WITH CORPORATE POLICIES AND PROCEDURES THAT REQUIRE COMPETITION AND INTERNAL APPROVALS AT VARIOUS LEVELS WITHIN THE ORGANIZATION. BOARD APPROVAL IS NOT REQUIRED TO ENTER INTO A CONTRACT OR MAKE A PURCHASE. FORM 990, PART VI, SECTION B, LINE 15 ANNUALLY THE EXECUTIVE OFFICERS' SALARIES ARE REVIEWED BY THE COMPENSATION COMMITTEE ALONG WITH THE INTERNAL AND EXTERNAL COMPARABILITY DATA. A COMPENSATION CONSULTANT PERIODICALLY PROVIDES INDEPENDENT EXPERTISE TO THE COMMITTEE. BASED ON THE COMPENSATION COMMITTEE'S RECOMMENDATIONS, THE BOARD THEN MAKES A SALARY RECOMMENDATION FOR ITS OFFICERS. PUBLIC HEALTH SOLUTIONS SERVES A PREDOMINANTLY LOW-INCOME, IMMIGRANT AND AT-RISK POPULATION IN THE NEW YORK CITY AREA, WITH PROGRAMS THAT ADDRESS SOME OF THE MOST SERIOUS AND URGENT PUBLIC HEALTH CHALLENGES FACING THE CITY AND THE NATION: CHILDREN AT RISK OF DEVELOPMENTAL DISABILITIES AND CHRONIC HEALTH PROBLEMS, SUCH AS CHILDHOOD OBESITY; WOMEN WITH LITTLE OR NO ACCESS TO HEALTH CARE, PRENATAL SERVICES, AND FAMILY PLANNING; FAMILIES IN NEED OF FOOD AND NUTRITIONAL GUIDANCE; AND PEOPLE WITH HIV/AIDS, AS WELL AS THOSE AT HIGH RISK OF BECOMING INFECTED WHO NEED PREVENTIVE EDUCATION. IN ADDITION TO ITS MANY SERVICE PROGRAMS, PUBLIC HEALTH SOLUTIONS ADVOCATES FOR HEALTHCARE SYSTEM CHANGE TO BENEFIT ITS CLIENTS; PROVIDES TRAINING AND TECHNICAL ASSISTANCE TO COMMUNITY-BASED ORGANIZATIONS; CONDUCTS RESEARCH ON EMERGING AND EXISTING PUBLIC HEALTH CHALLENGES; AND ASSISTS GOVERNMENT AGENCIES TO ALLOCATE PUBLIC FUNDING THROUGH CONTRACTS WITH OTHER NONPROFITS. TO ACCOMPLISH THESE GOALS AND CHALLENGES, PUBLIC HEALTH SOLUTIONS REQUIRES A WORKFORCE CONSISTING OF DIVERSIFIED EDUCATIONAL AND TECHNICAL BACKGROUNDS IN THE AREAS OF CONCERN ADDRESSED BY PUBLIC HEALTH SOLUTIONS. TO FACILITATE THE ENGAGEMENT OF A LARGE AND DIVERSIFIED WORKFORCE IN ITS FOCUS AREAS, PUBLIC HEALTH SOLUTIONS EMPLOYS A COMPENSATION PHILOSOPHY THAT ENCOURAGES INTERNAL FAIRNESS OF ITS PAY PROGRAM AND EXTERNAL COMPETITIVENESS IN THE VARIOUS MARKET PLACES FOR WHICH IT HIRES EMPLOYEES. THE OVERALL GOAL OF THE PUBLIC HEALTH SOLUTIONS COMPENSATION PHILOSOPHY IS TO ATTRACT HIGH-QUALITY EMPLOYEES AT VARIOUS LEVELS IN THE ORGANIZATION AND TO RETAIN THESE EMPLOYEES WITH A COMPREHENSIVE SALARY AND BENEFITS PLAN THAT IS COMPETITIVE IN THE MARKET PLACES FOR WHICH IT COMPETES FOR EMPLOYEES. AN ADDITIONAL GOAL IS TO CREATE CAREER LONGEVITY BY ADHERING TO THE PHILOSOPHY OF INTERNAL EQUITY, EXTERNAL COMPETITIVENESS, AND PERFORMANCE MANAGEMENT. PERIODICALLY, PUBLIC HEALTH SOLUTIONS SEEKS COUNSEL AND ADVICE FROM A COMPENSATION CONSULTANT TO KEEP THE ORGANIZATION ALIGNED WITH THE GOAL OF INTERNAL AND EXTERNAL EQUITY. THEY RE-EXAMINE JOB DESCRIPTIONS AND PERFORM MARKET JOB ANALYSIS, WHICH INFORMS THE PAY GRADE STRUCTURE OF PUBLIC HEALTH SOLUTIONS. WE AIM TO PAY ALL OUR EMPLOYEES, INCLUDING OFFICERS AND HIGHLY COMPENSATED EMPLOYEES, WITHIN THE MEDIAN OF THE MARKET(S) IN WHICH WE COMPETE FOR TALENT. PUBLIC HEALTH SOLUTIONS PLANS TO CONTINUE ITS PAY PHILOSOPHY FOR THE FUTURE AND WILL MONITOR THE MARKETPLACE FOR TALENT ON A REGULAR BASIS. FORM 990, PART VI, SECTION C, LINE 19 PUBLIC HEALTH SOLUTIONS' FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC ON GUIDESTAR. THEY ARE ALSO AVAILABLE FROM THE NYS ATTORNEY GENERAL'S OFFICE. PUBLIC HEALTH SOLUTIONS IS UPGRADING ITS WEBSITE TO ENABLE THE VIEWING OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS. FORM 990, PART IX, LINE 11G PATIENT CARE: PROGRAM SERVICE EXPENSES 220,910. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 220,910. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,173,264. MANAGEMENT AND GENERAL EXPENSES 108,845. FUNDRAISING EXPENSES 1,798. TOTAL EXPENSES 1,283,907. OTHER FEES: PROGRAM SERVICE EXPENSES 19,538,866. MANAGEMENT AND GENERAL EXPENSES 18,473. FUNDRAISING EXPENSES 63,097. TOTAL EXPENSES 19,620,436. FORM 990, PART XI, LINE 9: PENSION LIABILITY ADJUSTMENT -345,656. PART XII, LINE 2C: COMMITTEE THAT ASSUMES OVERSIGHT OF THE INDEPENDENT ACCOUNTANT AND AUDIT: PUBLIC HEALTH SOLUTIONS' AUDIT & COMPLIANCE COMMITTEE ASSUMES THE RESPONSIBILITY OF THE OVERSIGHT OF THE INDEPENDENT ACCOUNTANT AND THE AUDIT, AND THE REVIEW OF THE 990. PART III LINE 2: CULTURE AND HIV RISK IN A DIVERSE POPULATION (NIMHD/COLUMBIA UNIVERSITY SUBCONTRACT) A CRITICAL ASPECT OF SEXUAL BEHAVIOR AMONG YOUNG MEN WHO HAVE SEX WITH MEN (YMSM) IS THE PROCESS OF SEXUAL SOCIALIZATION - THE PROCESS BY WHICH INDIVIDUALS GAIN KNOWLEDGE, ATTITUDES, AND NORMS ABOUT SEXUALITY, SEXUAL BEHAVIOR, AND SEXUAL RISK. SEXUAL SCRIPTS THEORY PROVIDES A FRAMEWORK TO UNDERSTAND THE SEXUAL SOCIALIZATION PROCESS, SPECIFICALLY HOW INDIVIDUALS RECEIVE CULTURAL SCENARIOS FROM EXTERNAL SOURCES (CULTURAL SCRIPTS), INTERPRET THEM (INTRAPSYCHIC SCRIPTS), AND ENACT THEM WITH SEXUAL PARTNERS (INTERPERSONAL SCRIPTS). TO UNDERSTAND THIS PHENOMENON AND INFORM THE DEVELOPMENT OF, AND IMPROVE, EXISTING INTERVENTIONS FOR YMSM, THIS RESEARCH STUDY WILL CONDUCT MIXED-METHODS INTERVIEWS WITH AN ETHNICALLY DIVERSE SAMPLE OF 160 URBAN YMSM. THE STUDY TEAM WILL EXAMINE SOURCES OF SEXUAL INFORMATION RETROSPECTIVELY (LIFETIME AND SIX MONTHS PRIOR TO STUDY ENROLLMENT) AND PROSPECTIVELY (6, 12, AND 18 MONTHS FOLLOWING STUDY ENROLLMENT). FACILITATED ENROLLMENT FOR THE AGED, BLIND AND DISABLED PHS LAUNCHED FACILITATED ENROLLMENT FOR THE AGED, BLIND, DISABLED (FE-ABD), A FIVE-YEAR INITIATIVE FUNDED BY THE NEW YORK STATE DEPARTMENT OF HEALTH. THE FE-ABD PROGRAM PROVIDES EDUCATION AND PUBLIC HEALTH INSURANCE APPLICATION ASSISTANCE TO INDIVIDUALS AGED 65 YEARS OR OLDER, CERTIFIED BLIND INDIVIDUALS AND CERTIFIED DISABLED INDIVIDUALS IN NEW YORK CITY. PHS' ENROLLMENT FACILITATORS SCREEN INDIVIDUALS FOR MEDICAID AND MEDICAID-RELATED PROGRAMS, SUBMIT APPLICATIONS TO THE NYC HUMAN RESOURCES ADMINISTRATION (HRA), AND FOLLOW UP TO ENSURE THE APPLICATIONS ARE PROCESSED SUCCESSFULLY. FE-ABD SITES ARE HANDICAP-ACCESSIBLE AND SPREAD OUT ACROSS NYC'S FIVE BOROUGHS. PHS IS THE LEAD AGENCY FOR THE FE-ABD PROGRAM, PROVIDING TRAINING, OVERSIGHT, AND TECHNICAL ASSISTANCE TO A NETWORK OF SUBCONTRACTORS THAT PROVIDE SERVICES FOR THE ABD POPULATION. IN ADDITION, ALL PHS' NAVIGATORS AND ENROLLMENT FACILITATORS ARE CROSS-TRAINED TO BOTH ASSIST CLIENTS WITH APPLICATIONS THROUGH THE NY STATE OF HEALTH MARKETPLACE AND ASSIST THE ABD POPULATION AS THEY APPLY FOR PUBLIC HEALTH INSURANCE THROUGH HRA. IMPROVING THE NUTRITIONAL HEALTH OF YOUNG CHILDREN AND FAMILIES IN EAST HARLEM THE NYC DEPARTMENT OF HEALTH AND MENTAL HEALTH (NYCDOHMH) AND GROWNYC WILL MERGE THEIR EXPERTISE AND APPROACHES TO IMPROVE HEALTHY FOOD CONSUMPTION OVER A THREE-YEAR PERIOD, IN A RESEARCH TRIAL AIMED AT CAREGIVERS AND THEIR CHILDREN ATTENDING PRE-K - FIRST GRADE IN EAST HARLEM PUBLIC ELEMENTARY SCHOOLS. THE INTERVENTION WILL HAVE TWO COMPONENTS, ONE.IN THE SCHOOLS, AND ONE IN THE COMMUNITY. A CAREGIVER AND PRE-K - 1ST GRADE NUTRITION CURRICULUM WILL BE OFFERED CONCURRENTLY IN FIVE SCHOOLS: CLASSES WILL RECEIVE NUTRITION INFORMATION WITH COMMON CORE INTEGRATION AND CAREGIVERS WILL BE OFFERED A WEEKLY FREE HOT BREAKFAST WITH A SHORT HEALTH CURRICULUM AND DISTRIBUTION OF HEALTH BUCKS TO BUY FRESH FOOD BOXES. IN THE COMMUNITY, FRESH FOOD BOX DISTRIBUTION SITES AND YOUTHMARKET FARM STANDS WILL BE SET UP TO MAKE FRESH, LOCAL FOODS AVAILABLE TO THE ENTIRE COMMUNITY AND SPECIFICALLY PROMOTED IN THE COHORT SCHOOLS. TEEN-LED EDUCATION WILL REACH HUNDREDS OF COMMUNITY MEMBERS, COVERING TOPICS RANGING FROM HIGH BLOOD PRESSURE TO BETTER CHOICES AT FAST FOOD RESTAURANTS, AND COOKING DEMOS AND INCENTIVES WILL INCREASE LIKELIHOOD THAT SHOPPERS WILL PREPARE FOOD AT HOME. PHS IS SUBCONTRACTED TO EVALUATE THIS PROGRAM. JAMAICA SOUTHEAST QUEENS HEALTHY START PHS LAUNCHED THE JAMAICA SOUTHEAST QUEENS HEALTHY START (J/SQHS) PROGRAM, A FOUR-YEAR, NINE- MONTH INITIATIVE FUNDED BY A U.S. HEALTH RESOURCES AND SERVICE ADMINISTRATION HEALTHY START LEVEL 1 GRANT. J/SQHS WORKS TO ELIMINATE DISPARITIES IN PERINATAL HEALTH IN NEIGHBORHOODS OF SOUTHEAST QUEENS. J/SQHS ACCEPTS REFERRALS OF ALL PREGNANT AND NEWLY PARENTING WOMEN AND, THROUGH A CENTRALIZED SCREENING PROCESS, MATCHES THEM TO THE HOME-VISITING PROGRAM THAT BEST MEETS THEIR NEEDS AND PREFERENCES. VOLUNTARY HOME-VISITING AND GROUP SERVICES ARE AVAILABLE AT NO COST TO QUALIFIED PREGNANT WOMEN AND NEW PARENTS WHO CAN BENEFIT FROM ADDITIONAL SUPPORT. AS THE LEAD AGENCY, PHS IS MANAGING A NETWORK OF SUB-CONTRACTORS AND PARTNERS THAT PROVIDE HOME-VISITING SERVICES - NYCDOHMH'S NURSE-FAMILY PARTNERSHIP, SAFE SPACE HEALTHY FAMILIES JAMAICA, AND QUEENS COMPREHENSIVE PERINATAL COUNCIL CASE MANAGEMENT SERVICES - AND OVERSEEING THE CENTRALIZED INTAKE SYSTEM. J/SQHS ALSO MANAGES THE HEALTHY START COMMUNITY ACTION NETWORK, A NETWORK OF COMMUNITY MEMBERS, BOTH RESIDENTS AND ORGANIZATIONS THAT WORK TOGETHER AROUND A SHARED VISION AND GOALS TO IMPROVE MATERNAL AND INFANT HEALTH OUTCOMES. MOBILE MESSAGING INTERVENTION TO PRESENT NEW HIV PREVENTION OPTIONS FOR MSM IN COLLABORATION WITH THE FEDERAL CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC), EMORY UNIVERSITY, PHS, THE UNIVERSITY OF MICHIGAN, AND THE UNIVERSITY OF MINNESOTA WILL DEVELOP A NEW SET OF HIV PREVENTION MESSAGES BASED ON RIGOROUS PRELIMINARY QUALITATIVE STUDIES, REFLECTING THE CURRENT AGE OF COMBINATION BIOMEDICAL AND BEHAVIORAL PREVENTION. MOBILE TECHNOLOGY WILL BE USED TO TEST THE MESSAGES, AND TO PROVIDE LINKS BETWEEN TARGETED PREVENTION SERVICES AND SERVICE ACCESS POINTS IN ATLANTA, DETROIT, AND NEW YORK. THE PREVENTION APP THROUGH WHICH THE NEW MESSAGES WILL BE TESTED HAS ALREADY BEEN DEVELOPED, BUILDING ON A MIXED-METHODS FORMATIVE RESEARCH PROCESS THAT INCORPORATED THE INPUT OF ACADEMICS, COMMUNITY-BASED ORGANIZATIONS, AND HEALTH DEPARTMENTS. THE CONTENT OF THE NEW MESSAGES WILL BE GUIDED BY SOCIAL COGNITIVE THEORY. ONCE DEVELOPED, THE NEW MESSAGES WILL BE TESTED IN A DELAYED-ONSET DESIGN AMONG 1206 MEN WHO HAVE SEX WITH MEN (MSM), STRATIFIED BY HIV STATUS (HIV-POSITIVE AND HIV-NEGATIVE) AND, AMONG HIV-NEGATIVE MEN, BY SEXUAL RISK. OUTCOMES WILL BE SELF-REPORTED HIV PREVENTION AND RISK OUTCOMES, ASSESSED AT THE END OF A THREE-MONTH INTERVENTION PERIOD. PREP, IS IT FOR ME? FUNDED BY GILEAD, THIS ONLINE VIDEO CAMPAIGN WILL ADDRESS THREE SPECIFIC AREAS RELATED TO THE USE OF PREP (PRE-EXPOSURE PROPHYLAXIS) BY MSM AT RISK FOR HIV: 1) KNOWLEDGE OF PREP- WHAT IT IS, HOW IT WORKS, AND WHERE YOU GET IT; 2) CONCERNS ABOUT POTENTIAL SIDE EFFECTS, BOTH PHYSICAL AND PSYCHOLOGICAL, E.G. RISK DISINHIBITION; 3) PSYCHOSOCIAL BARRIERS RELATED TO PREP ADHERENCE AND SEX SHAMING BY OTHER GAY MEN AND THOSE GENERALLY CRITICAL OF THE GAY COMMUNITY. THE CONTENT OF THE VIDEO AND PRE-POST VIDEO SURVEYS, WHICH WILL MEASURE CHANGES IN PREP KNOWLEDGE AND INTENTION TO USE PREP AFTER WATCHING THE VIDEO, WILL BE INFORMED BY LITERATURE REVIEWS, FOCUS GROUPS, AND MEETINGS WITH LOCAL STAKEHOLDERS. THE CAMPAIGN WILL BE ADVERTISED WIDELY TO NYC MSM ON SOCIAL AND SEXUAL NETWORKING SITES AND THROUGH E-MAIL BLASTS TO COMMUNITY-BASED ORGANIZATIONS (CBOS) AND AIDS SERVICE ORGANIZATIONS (ASOS). THE ADS WILL CONTAIN LINKS TO THE CAMPAIGN WEBSITE THAT WILL HOUSE THE VIDEO, SURVEYS, AND A LINK TO NYCDOHMH'S PREP EDUCATIONAL WEBSITE AND THE NYC PREP PROVIDER DIRECTORY. VIDEO INFORMATION PROVIDER FOR HIV-ASSOCIATED NON-AIDS (VIP-HANA) SYMPTOMS PEOPLE LIVING WITH HIV/AIDS (PLWHA) FACE NEW CHALLENGES FROM HIV-ASSOCIATED NON-AIDS (HANA) CONDITIONS SUCH AS CARDIOVASCULAR DISEASE, OSTEOPOROSIS, COPD, AND DIABETES. AN INDIVIDUAL'S ABILITY TO SELF-MANAGE THE SYMPTOMS OF HIS OR HER HIV ILLNESS HAS BEEN SHOWN TO DECREASE SYMPTOM SEVERITY, IMPROVE QUALITY OF LIFE, REDUCE DISABILITY, INCREASE MEDICATION ADHERENCE, AND PROMOTE HEALTH. THIS NIH-FUNDED RESEARCH EXPANDS UPON INNOVATIVE PILOT WORK THAT DEVELOPED AND TESTED A WEB-BASED SYMPTOM REPORTING AND SELF-MANAGEMENT SYSTEM, VIDEO INFORMATION PROVIDER (VIP) FOR PLWHA. THE GOAL OF THIS STUDY IS TO DEVELOP AND TEST AN INTERVENTION, THE VIP-HANA SYSTEM, A WEB APPLICATION THAT DELIVERS SELF-CARE STRATEGIES TAILORED TO SYMPTOM REPORTING, HANA CONDITION(S) AND BY GENDER. PART III LINE 2: VIEWER ATTITUDES ABOUT PREP USE IN SEXUALLY EXPLICIT MEDIA (PREVIEW) TECHNOLOGICAL INNOVATIONS IN THE PRODUCTION AND DISTRIBUTION OF SEXUALLY EXPLICIT MEDIA (SEM) HAVE RESULTED IN WIDESPREAD AVAILABILITY AND CONSUMPTION ON THE INTERNET. ADVANCES IN HIV TREATMENT AND BIOMEDICAL PREVENTION (I.E., PREP) HAVE MADE IT INCREASINGLY POSSIBLE FOR SEM PRODUCERS TO MEET CONSUMER DEMANDS FOR VIDEOS FEATURING CONDOMLESS SEX. INDEED, MUCH OF THE SEM PRODUCED AND DISTRIBUTED TODAY FEATURES CONDOMLESS VAGINAL OR ANAL SEX. WIDESPREAD UPTAKE OF PREP IN THE SEM INDUSTRY IS AN IMPORTANT STEP TO PREVENTING HIV ACQUISITION AND TRANSMISSION AMONG PERFORMERS. HOWEVER, RESEARCH IS NEEDED TO BETTER UNDERSTAND VIEWER PERCEPTIONS ABOUT THE CURRENT STATE OF SEM (E.G., POTENTIAL NORMALIZATION OF VIEWING HIGH-RISK BEHAVIOR), AWARENESS OF PREP, AND ATTITUDES TOWARD PREP UPTAKE IN THE SEM INDUSTRY. ONLINE, THE PROJECT WILL RECRUIT AND SURVEY APPROXIMATELY 1,500 MEN AND WOMEN IN THE U.S., STRATIFIED BY SEXUAL ORIENTATION, ABOUT THESE ISSUES. THIS ONE-YEAR STUDY IS SUPPORTED WITH FUNDING FROM THE FOUNDATION FOR THE SCIENTIFIC STUDY OF SEXUALITY (AWARDED NOVEMBER 2014). VIRTUAL VENUES: EXAMINING HIV RISK PERCEPTION AND MANAGEMENT ON- AND OFF-LINE AMONG MEN WHO HAVE SEX WITH MEN IN ABIDJAN, COTE D'IVOIRE DESPITE THE INTERNET'S INCREASING IMPORTANCE AS A VENUE FOR MEN WHO HAVE SEX WITH MEN (MSM) SEEKING SEX PARTNERS, LITTLE IS KNOWN ABOUT THE IMPACT OF ONLINE VENUES ON HIV RISK BEHAVIOR OUTSIDE THE US AND EUROPEAN CONTEXT. THIS PROJECT EXAMINES THE RISK BEHAVIOR AND COUNTRY-CONTEXT EMBEDDED IN THE ONLINE EXPERIENCES OF IVOIRIAN MSM AND TRANSVESTITE, WHOSE USE OF THE INTERNET IS UNDERSTUDIED, AND ASKS HOW A SEX-SEEKING VENUE IMPACTS THE WAYS IN WHICH MEN MANAGE AND PERCEIVE THEIR RISK FOR HIV. USING AN ANONYMOUS ONLINE SURVEY, AND SEMI-STRUCTURED INTERVIEWS, THIS PROJECT WILL AIM TO UNDERSTAND THE ON- AND OFF-LINE EXPERIENCES OF MSM AND TRAVESTIS IN ABIDJAN. FORM 990, PART III,LINE 4D DESCRIPTION OF OTHER PROGRAM SERVICES: ACCESS TO HEALTH AND FOOD BENEFITS: PUBLIC HEALTH SOLUTIONS' ACCESS TO HEALTH AND FOOD BENEFITS PROGRAM HELPS INDIVIDUALS AND FAMILIES OBTAIN HEALTH INSURANCE COVERAGE, INCLUDING MEDICAID AND CHILD HEALTH PLUS, AS WELL AS PRIVATE COVERAGE THROUGH THE HEALTH INSURANCE MARKETPLACE. IT ALSO ASSISTS THOSE IN NEED OF ADEQUATE FOOD TO APPLY FOR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) BENEFITS, FORMERLY KNOWN AS FOOD STAMPS. FROM 2001 TO 2015, AS A NEW YORK STATE-FUNDED FACILITATED ENROLLMENT AGENCY, PHS ENROLLED OR RENEWED OVER 120,000 INDIVIDUALS IN PUBLIC HEALTH INSURANCE. IN 2015, PHS PARTICIPATED AS A HEALTH INSURANCE NAVIGATOR PROGRAM IN THE NEW YORK STATE OF HEALTH'S AFFORDABLE CARE ACT HEALTH INSURANCE EXCHANGE. PHS' 30 NAVIGATORS AND SNAP BENEFITS COUNSELORS ARE ETHNICALLY DIVERSE, CAN ASSIST CLIENTS IN MORE THAN 10 LANGUAGES, AND HELP CLIENTS TO NAVIGATE THROUGH WHAT FOR MANY IS A COMPLICATED AND CONFUSING APPLICATION PROCESS. IN 2015, PHS ENROLLED OR RENEWED CLOSE TO 15,500 NEW YORK CITY AND LONG ISLAND INDIVIDUALS AND FAMILIES INTO HEALTH INSURANCE ON THE NEW YORK STATE OF HEALTH EXCHANGE. AS OF 2015, PHS' ACCESS TO HEALTH AND FOOD BENEFITS PROGRAM ALSO OPERATES THE FACILITATED ENROLLMENT PROGRAM FOR THE AGED, BLIND AND DISABLED DESCRIBED IN PART III, LINE 2 -- NEW PROGRAM SERVICES. EARLY INTERVENTION SERVICE COORDINATION (EISC): PUBLIC HEALTH SOLUTIONS' EARLY INTERVENTION SERVICE COORDINATION PROGRAM PROVIDES INITIAL AND ONGOING SERVICE COORDINATION TO NYC FAMILIES WITH INFANTS AND TODDLERS WITH KNOWN OR SUSPECTED DEVELOPMENTAL DELAYS OR DISABILITIES. SERVICE COORDINATORS HELP FAMILIES OBTAIN COMPREHENSIVE EVALUATIONS, DEVELOP INDIVIDUAL FAMILY SERVICE PLANS (IFSP), AND ACCESS EARLY INTERVENTION SERVICES AND OTHER SERVICES IDENTIFIED IN THEIR IFSP. EACH YEAR, THE PROGRAM SERVES OVER 6,000 FAMILIES BY ASSISTING THEM WITH OBTAINING COMPREHENSIVE EVALUATIONS, IDENTIFYING APPROPRIATE TREATMENT PROVIDERS AND MONITORING THE TIMELY DELIVERY OF APPROVED SERVICES. THE PROGRAM'S 75 MULTILINGUAL SERVICE COORDINATORS WORK WITH FAMILIES IN THEIR HOMES, OR AT ANY OTHER LOCATION CONVENIENT TO THEM, TO SUPPORT THEM TO UNDERSTAND THIS COMPLEX PROGRAM, AND TO APPROPRIATELY ACCESS EARLY INTERVENTION AND OTHER COMMUNITY SERVICES. HEALTHY FOOD INITIATIVES: IN 2015, PHS WAS A SUBCONTRACTOR ON A FEDERAL HEALTHY FOOD FINANCING INITIATIVE IN PARTNERSHIP WITH THE GREATER JAMAICA DEVELOPMENT CORPORATION, WITH THE GOAL OF SUPPORTING IMPROVED HEALTHY FOOD AVAILABILITY IN JAMAICA, QUEENS. ACTIVITIES INCLUDED MAPPING THE COMMUNITY TO UNDERSTAND THE RETAIL FOOD ENVIRONMENT, AS WELL AS SUPPORTING SEVERAL RETAIL ESTABLISHMENTS TO IMPROVE THEIR MARKETING OF HEALTHY, NUTRITIOUS FOODS, PARTICULARLY THOSE WHICH ARE AVAILABLE ON THE WIC FOOD PACKAGE. IN ADDITION, PHS IS THE CO-SPONSOR OF TWO COALITIONS CONVENED TO SUPPORT HEALTHY RETAIL FOOD, THE HEALTHY FOOD RETAIL NETWORKING GROUP AND THE NYC FARMERS MARKET ALLIANCE. MATERNAL AND CHILD HEALTH PROGRAMS: PUBLIC HEALTH SOLUTIONS' NURSE-FAMILY PARTNERSHIP PROGRAM, BASED IN THE HIGH-NEED COMMUNITY OF CORONA, QUEENS, IS A NATIONALLY RECOGNIZED, EVIDENCE-BASED NURSE HOME-VISITING PROGRAM FOR LOW-INCOME, FIRST-TIME MOTHERS, WHICH HAS BEEN SERVING WOMEN AND FAMILIES SINCE 2008. TO DATE, THE PROGRAM HAS REACHED OVER 1000 FAMILIES. PHS' BUSHWICK BRIGHT START (BBS) PROGRAM, A HEALTHY FAMILIES NEW YORK HOME-VISITING PROGRAM, HAS BEEN SERVING WOMEN AND FAMILIES IN THE BUSHWICK COMMUNITY IN BROOKLYN FOR 14 YEARS, OFFERING INTENSIVE, EVIDENCE-BASED HOME-VISITING SERVICES TO PREGNANT AND PARENTING WOMEN AND BABIES THROUGH WEEKLY HOME VISITS. SINCE ITS INCEPTION IN 2001, BBS HAS SERVED OVER 800 FAMILIES. BOTH PROGRAMS HAVE BEEN SHOWN TO MEASURABLY IMPROVE HEALTH OUTCOMES FOR MOTHERS AND THEIR CHILDREN. PHS ALSO OPERATES THE QUEENS MATERNAL INFANT COMMUNITY HEALTH COLLABORATIVE, A FIVE-YEAR, NYS DEPARTMENT OF HEALTH-FUNDED PROJECT IN NORTHERN QUEENS TO CONVENE AND LEAD A DIVERSE GROUP OF LOCAL STAKEHOLDERS AND DEPLOY A TEAM OF COMMUNITY HEALTH WORKERS, WITH THE GOAL OF IMPROVING FEMALE RESIDENTS' REPRODUCTIVE HEALTH ACROSS THE LIFE COURSE. SINCE 2013, THE PROGRAM HAS SERVED OVER 200 WOMEN OF REPRODUCTIVE AGE. AS OF 2015, PHS' MATERNAL CHILD HEALTH UNIT ALSO OPERATES THE JAMAICA SOUTHEAST QUEENS HEALTHY START PROGRAM DESCRIBED IN PART III, LINE 2 -- NEW PROGRAM SERVICES. MIC HEALTH CENTERS: PHS' ARTICLE 28-LICENSED MIC HEALTH CENTERS HAVE BEEN PROVIDING COMPREHENSIVE FAMILY PLANNING AND PRENATAL CARE TO NYC'S MOST MEDICALLY UNDERSERVED NEIGHBORHOODS FOR OVER 50 YEARS, SERVING NEARLY 4,000 MEN AND WOMEN ANNUALLY AT ITS TWO LOCATIONS IN BROOKLYN. HIGH-QUALITY REPRODUCTIVE HEALTHCARE SERVICES, INCLUDING A RANGE OF EFFECTIVE CONTRACEPTIVE METHODS, ARE PROVIDED TO ALL WHO NEED THEM, REGARDLESS OF AGE, IMMIGRATION STATUS, OR ABILITY TO PAY. IN 2015, MIC ACHIEVED NATIONAL COMMISSION ON QUALITY ASSURANCE (NCQA) LEVEL TWO PATIENT CENTERED SPECIALTY PRACTICE RECOGNITION, WHICH RECOGNIZES PRACTICES THAT DEMONSTRATE PATIENT-CENTERED AND HIGH-QUALITY CARE. NYC SMOKE-FREE: NYC SMOKE-FREE WORKS TO PROTECT THE HEALTH OF NEW YORKERS THROUGH TOBACCO CONTROL POLICY, ADVOCACY, AND EDUCATION. FORMERLY THE NYC COALITION FOR A SMOKE-FREE CITY, WE PARTNER WITH COMMUNITY MEMBERS, LEGISLATORS, AND HEALTH ADVOCATES TO SUPPORT LOCAL EFFORTS TO END THE DEVASTATING TOBACCO EPIDEMIC THROUGHOUT THE BRONX, BROOKLYN, MANHATTAN, AND QUEENS. WE BELIEVE EVERY NEW YORKER HAS THE RIGHT TO BREATHE CLEAN, SMOKE-FREE AIR WHERE THEY LIVE, WORK AND PLAY. THE GOALS OF NYC SMOKE-FREE ARE TO: ENGAGE YOUTH AND COMMUNITY PARTNERS TO BUILD SUPPORT FOR A SMOKE-FREE CITY AND END TOBACCO HEALTH DISPARITIES; LIMIT YOUTH EXPOSURE AND ACCESS TO MARKETING AND SALES OF TOBACCO PRODUCTS; EXPAND SMOKE-FREE HOUSING AND INCREASE ACCESS TO SMOKE-FREE AFFORDABLE HOUSING; AND INCREASE THE NUMBER OF SMOKE-FREE SPACES. REPRODUCTIVE HEALTH SERVICES PROGRAM: A RECOGNIZED LEADER IN THE AREAS OF FAMILY PLANNING, ADOLESCENT AND WOMEN'S HEALTH, PHS HAS A LONG HISTORY OF IDENTIFYING AND ADDRESSING EMERGING FAMILY PLANNING CLINICAL AND ADMINISTRATIVE ISSUES, AS WELL AS CONTRIBUTING TO LONGSTANDING PARTNERSHIPS THROUGH STATE- AND CITY-WIDE COALITIONS AND INITIATIVES THAT STRIVE TO IMPROVE CARE AND POLICIES IN NEW YORK CITY THROUGH EDUCATION, COLLABORATION, AND ADVOCACY. PHS HAS BEEN THE NON-GOVERNMENTAL TITLE X FAMILY PLANNING SERVICES GRANTEE FOR NEW YORK STATE FOR OVER 30 YEARS. TITLE X IS THE FEDERAL GRANT PROGRAM THAT FUNDS COMPREHENSIVE FAMILY PLANNING AND OTHER RELATED PREVENTIVE HEALTH SERVICES TO INDIVIDUALS, WITH A SPECIAL FOCUS ON THE NEEDS OF LOW-INCOME FAMILIES OR UNINSURED PEOPLE (INCLUDING THOSE NOT ELIGIBLE FOR MEDICAID) WHO MIGHT NOT OTHERWISE HAVE ACCESS TO THESE SERVICES. PHS ADMINISTERS FUNDING TO SEVEN SUB-RECIPIENT COMMUNITY HEALTH CENTERS ON BEHALF OF THE OFFICE OF POPULATION AFFAIRS (OPA) WITHIN THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES (DHHS). PHS PROVIDES ONGOING DATA MONITORING AND PROGRAMMATIC AND ADMINISTRATIVE REVIEW FOR SUB-RECIPIENTS TO ENSURE THEY SET AND ACHIEVE WORK PLAN GOALS AND OBJECTIVES AND ADHERENCE TO TITLE X GUIDELINES. IN ADDITION, PHS OPERATES THE FAMILY PLANNING CAPACITY BUILDING PROGRAM (FPCBP), A 20-MONTH QUALITY IMPROVEMENT COLLABORATIVE THAT AIMS TO IMPROVE CONTRACEPTIVE SERVICE PROVISION AT FOUR NON-TITLE X-FUNDED FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) IN NEW YORK CITY AND, IN SO DOING, REDUCE UNINTENDED PREGNANCIES AMONG WOMEN SEEKING PRIMARY CARE AT THOSE PRACTICES. THE OBJECTIVE OF THE COLLABORATIVE WAS TO INCREASE THE UPTAKE OF EFFECTIVE CONTRACEPTIVE METHODS AMONG WOMEN NOT SEEKING PREGNANCY WHO RECEIVE PRIMARY CARE AT FQHCS. THE COLLABORATIVE FACILITATED IMPROVEMENT ACTIVITIES AMONG PARTICIPATING SITES THROUGH COACHING, TRAINING, AND TECHNICAL ASSISTANCE. PARTICIPATING SITES IMPLEMENTED CLINICAL, OPERATIONAL, AND ADMINISTRATIVE IMPROVEMENTS AND CREATED SUSTAINABLE INFRASTRUCTURE ALIGNED WITH CONTRACEPTIVE BEST PRACTICES TO INCREASE ANNUAL PREGNANCY INTENTION SCREENING AND EFFECTIVE CONTRACEPTIVE METHOD USE. SUCCESSES OF THE COLLABORATIVE INCLUDE: DOCUMENTATION OF ANNUAL PREGNANCY INTENTION SCREENING INCREASED FROM 3% TO 80% AMONG WOMEN OF REPRODUCTIVE AGE; AND INITIATION AND CONTINUATION OF AN EFFECTIVE CONTRACEPTIVE METHOD INCREASED FROM 2% TO 55% AMONG WOMEN NOT SEEKING PREGNANCY. FORM 990, PART III,LINE 4D: SUDDEN INFANT AND CHILD DEATH RESOURCE CENTER (SICD): SICD SEEKS TO ELIMINATE SUDDEN UNEXPECTED DEATHS IN INFANTS AND CHILDREN. THIS PROGRAM IS ONE OF FIVE REGIONAL OFFICES FUNDED BY THE NEW YORK STATE CENTER FOR SUDDEN INFANT DEATH. SICD WORKS WITH A WIDE RANGE OF HEALTH AND SOCIAL SERVICE PROFESSIONALS AND COMMUNITY LEADERS TO INCREASE PUBLIC AWARENESS THROUGH EDUCATIONAL PROGRAMS ABOUT SUDDEN UNEXPECTED INFANT/CHILD DEATH, SAFE SLEEP PRACTICES, AND INFANT MORTALITY RISK REDUCTION, AND TO PROVIDE BEREAVEMENT SUPPORT TO FAMILIES THAT HAVE EXPERIENCED THE LOSS OF AN INFANT/CHILD, THROUGH INDIVIDUAL CONSULTATIONS AND SUPPORT GROUPS. WIC VENDOR MANAGEMENT PROGRAM: PUBLIC HEALTH SOLUTIONS IS ONE OF TWO WIC VENDOR MANAGEMENT AGENCIES (VMA) IN NEW YORK CITY. SINCE 1974, ON BEHALF OF THE NYS HEALTH DEPARTMENT, VMA HAS ENSURED THAT GROCERY STORES, CORNER STORES, SUPERMARKETS AND PHARMACIES THAT ACCEPT WIC CHECKS ARE APPROPRIATELY STOCKED AND PRODUCTS ARE FAIRLY PRICED. THE PROGRAM WORKS WITH OVER 1,500 STORES IN QUEENS, BROOKLYN AND STATEN ISLAND, AS WELL AS IN NASSAU AND SUFFOLK COUNTIES, FACILITATING THE PROCESSING OF WIC VENDOR APPLICATIONS, PROVIDING TRAINING TO WIC VENDORS, CONDUCTING PERIODIC SITE INSPECTIONS AND MONITORING VISITS, AND RESOLVING DISPUTES BETWEEN PARTICIPANTS AND VENDORS. IN 2015, PHS WAS AWARDED $2.8 MILLION ANNUALLY FOR THREE YEARS (2016-2019) -- BEGINNING MARCH 2016 -- IN RESPONSE TO ITS COMPETITIVE RENEWAL APPLICATION SUBMITTED TO NEW YORK STATE'S VENDOR MANAGEMENT AGENCY FOR THE SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS AND CHILDREN (WIC) PROGRAM RFP. PHS WAS AWARDED FUNDS TO EXPAND THE PROGRAM TO ADDITIONAL COUNTIES INCLUDING MANHATTAN, ORANGE AND ROCKLAND COUNTIES, AND TO CONTINUE TO OVERSEE QUEENS, BROOKLYN, STATEN ISLAND, NASSAU AND SUFFOLK COUNTIES. RESEARCH & EVALUATION ACTIVITIES: PUBLIC HEALTH SOLUTIONS USES ITS OWN RESEARCH TO HELP ILLUMINATE CRITICAL PUBLIC HEALTH ISSUES AND TO DESIGN, IMPLEMENT AND ASSESS EFFECTIVE METHODS FOR PREVENTING DISEASE AND IMPROVING HEALTH. PHS' INNOVATIVE RESEARCH PROGRAMS INCLUDE: OBESITY RESEARCH FIRST STEPS TO HEALTHY LIVING: EVALUATION OF NEW YORK STATE EARLY CHILDHOOD OBESITY PREVENTION PROGRAMS IS A 4.5 YEAR PROJECT FUNDED BY THE ROBERT WOOD JOHNSON FOUNDATION AND THE NYS HEALTH FOUNDATION WITH SALLY FINDLEY, COLUMBIA UNIVERSITY PI MARY ANN CHIASSON, CO-PI, AND JACKSON SEKHOBO, PHD, NEW YORK STATE DEPARTMENT OF HEALTH, CO-I. THE PRIMARY GOAL OF THE PROJECT IS TO ASSESS THE IMPACT OF THE NEW WIC FOOD PACKAGE IMPLEMENTED ON JANUARY 5, 2009 ON FRUIT, VEGETABLE, WHOLE GRAIN, AND LOW-FAT MILK CONSUMPTION, INITIATION AND DURATION OF BREASTFEEDING, AND CHILD WEIGHT/HEIGHT AMONG WIC PARTICIPANTS. THIS PROJECT IS IN THE FINAL PHASE OF DATA ANALYSIS. PROFILES OF PARTICIPATION IN WIC AND OTHER HEALTHY LIVING PROGRAMS FOR PRE-SCHOOLERS IN NEW YORK IS A ONE-YEAR RENEWAL GRANT FUNDED BY THE ROBERT WOOD JOHNSON FOUNDATION. THIS GRANT WILL FUND: 1) A STUDY OF LIFETIME PARTICIPATION AND EXPERIENCES IN WIC, FACTORS ASSOCIATED WITH VARIATIONS IN WIC PARTICIPATION, AND REASONS FOR NON-PARTICIPATION BY THOSE ELIGIBLE; AND 2) HOW MOTHERS COMBINE WIC PARTICIPATION WITH OTHER RESOURCES TO SUPPORT HEALTHY DIETS AND ACTIVITIES FOR THEIR PRE-SCHOOLERS AND OTHER YOUNG CHILDREN. FIELD WORK WAS COMPLETED IN NOVEMBER 2015. THIS PROJECT IS ALSO IN ITS FINAL ANALYSIS STAGE. STARTING EARLY CHILDHOOD OBESITY PREVENTION INITIATIVE: THIS FIVE-YEAR STUDY IS A RANDOMIZED CONTROLLED TRIAL (RCT) TO TEST THE EFFECTIVENESS OF A PRIMARY CARE, CHILD OBESITY PREVENTION PROGRAM BEGINNING IN PREGNANCY AND CONTINUING THROUGH THE FIRST THREE YEARS OF LIFE. THE STUDY AIMS TO REDUCE THE PREVALENCE OF OBESITY AT AGE THREE, IMPROVE CHILD DIET COMPOSITION AND HEALTHY LIFESTYLE BEHAVIORS. PREGNANT WOMEN ARE ENROLLED IN THEIR THIRD TRIMESTER FROM TWO LARGE URBAN MEDICAL CENTERS, NYU-BELLEVUE AND GOUVERNEUR HOSPITALS. THESE WOMEN ARE LOW-INCOME LATINAS WHO SPEAK EITHER ENGLISH OR SPANISH AND WHO PLAN TO RECEIVE PEDIATRIC CARE AT BELLEVUE OR GOUVERNEUR. THE INTERVENTION, "STARTING EARLY," CONSISTS OF SEVERAL COMPONENTS: 1) A POSTPARTUM VISIT TO ASSIST WITH BREASTFEEDING AND OFFER ASSISTANCE AND LINKAGES TO LACTATION RESOURCES; 2) FAMILY GROUPS: INTERACTIVE GROUPS, COORDINATED WITH THE CHILD'S PRIMARY CARE VISITS AND LEAD BY A NUTRITIONIST; 3) IT'S NEVER TOO EARLY: FEEDING YOUR BABY WELL: THE PUBLIC HEALTH SOLUTIONS CULTURALLY-SPECIFIC BILINGUAL EARLY NUTRITION VIDEO INCORPORATED IN FAMILY GROUP DISCUSSIONS; 4) PLAIN LANGUAGE HANDOUTS: GIVEN BY THE CHILD'S PEDIATRICIAN TO REINFORCE THE CURRICULUM FROM THE FAMILY GROUPS. BASELINE AND PERIODIC FOLLOW-UP SURVEYS WILL MEASURE THE EFFECTIVENESS OF THE INTERVENTION. ENROLLMENT WAS A THREE-STEP PROCESS, WHICH BEGAN ON JULY 9, 2012 AND ENDED DECEMBER 31, 2014. THE FIRST BABIES OF RANDOMIZED MOTHERS WERE BORN IN OCTOBER 2012. THE INTERVENTION COUNSELING AND SUPPORT GROUPS ARE ONGOING AND THE CURRICULUM INCLUDES "BETWEEN TWO PLATES/ENTRE DOS PLATOS" -- THE PHS HEALTHY SHOPPING VIDEO. NATIONAL HEALTHY WEIGHT IN LESBIAN & BISEXUAL WOMEN INITIATIVE COORDINATING CENTER: THE OFFICE OF WOMEN'S HEALTH (OWH) IN THE DEPARTMENT OF HEALTH AND HUMAN SERVICES (DHHS) FUNDED FIVE CONTRACTS DIRECTED AT IDENTIFYING AND TESTING EFFECTIVE AND INNOVATIVE WAYS TO REDUCE OBESITY IN LESBIAN AND BISEXUAL WOMEN. THE EFFORT BUILDS ON THE ONGOING EMPHASIS ON THE IMPORTANCE OF ACHIEVING AND MAINTAINING A HEALTHY WEIGHT IN ALL CHILDREN AND ADULTS, AND IS IN LINE WITH THE OWH MISSION TO PROVIDE NATIONAL LEADERSHIP AND COORDINATION DIRECTED AT IMPROVING THE HEALTH OF WOMEN AND GIRLS THROUGH POLICY, EDUCATION, AND MODEL PROGRAMS. THE PROJECTS IN PLACE IN COMMUNITIES ACROSS THE UNITED STATES ARE TARGETED AT LESBIAN AND BISEXUAL WOMEN 40 YEARS AND OLDER AT RISK FOR (OR WITH) HEART DISEASE, CANCER, DIABETES, MUSCULOSKELETAL PROBLEMS, ASTHMA, AND OTHER MORBIDITIES RELATED TO OVERWEIGHT AND OBESITY. THE INTERVENTIONS FOCUS ON ACTIVITY AND NUTRITION WITH THE GOALS OF IMPROVING HEALTH, HEALTHY BEHAVIORS, AND FITNESS. PUBLIC HEALTH SOLUTIONS IS A SUBCONTRACTOR OF THE CDM GROUP ON THIS GRANT, TO PROVIDE TECHNICAL ASSISTANCE AND DATA ANALYSIS FOR THE FIVE SITES. HIV PREVENTION RESEARCH HIV IS STILL A BIG DEAL THIS GROUNDBREAKING VIDEO PROJECT WAS FIRST IMPLEMENTED BY PUBLIC HEALTH SOLUTIONS AND NEW YORK UNIVERSITY'S STEINHARDT SCHOOL IN 2004 TO HELP FILL THE THEN-EXISTING GAP IN EFFECTIVE ONLINE MEDIA INTERVENTIONS TAILORED TO THE LIFESTYLE AND NEEDS OF THE GAY COMMUNITY. A SERIES OF INTERNET-BASED PREVENTION VIDEOS HAVE BEEN DEVELOPED FOR GAY, BISEXUAL AND OTHER MEN WHO HAVE SEX WITH MEN (MSM), AND SUBSEQUENT RESEARCH HAS CLEARLY DEMONSTRATED THE EFFECTIVENESS OF THE VIDEOS. THE MORNING AFTER, WRITTEN AND PRODUCED BY PHS' RESEARCH TEAM, WAS THE FIRST ONLINE DRAMATIC HIV PREVENTION VIDEO THAT HAS BEEN EVALUATED AND PROVED TO REDUCE HIGH-RISK BEHAVIOR. TO DATE, THESE HIV PREVENTION VIDEOS FOR GAY, BISEXUAL AND OTHER MEN WHO HAVE SEX WITH MEN (MSM) HAVE BEEN VIEWED MORE THAN 146,000 TIMES ONLINE. SCALE-UP OF AN INTERNET-DELIVERED RANDOMIZED CONTROLLED TRIAL FOR HIV+ MEN: PHS IS CONDUCTING AN ONLINE VIDEO-BASED INTERVENTION FOR HIV+ MSM WHO HAVE CONDOMLESS ANAL SEX WITH PARTNERS WHO ARE HIV-NEGATIVE OR WHO DO NOT KNOW THEIR HIV STATUS. THE GOAL OF THIS NIH-FUNDED INTERVENTION IS TO REDUCE CONDOMLESS ANAL SEX WITH HIV-NEGATIVE OR UNKNOWN STATUS PARTNERS IN ORDER TO PREVENT POSSIBLE HIV TRANSMISSION. PUBLIC HEALTH SOLUTIONS IS WORKING WITH POZ.COM (POZ), THE LARGEST WEBSITE FOR HIV+ INDIVIDUALS, TO RECRUIT AND FOLLOW A NATIONAL ONLINE SAMPLE OF 1,500 HIGH-RISK HIV+ MSM FOR 12 MONTHS. SOME NOTABLE ASPECTS OF THE STUDY INCLUDE THE COLLECTION OF SELF-REPORTED CLINICAL INDICATORS (I.E., VIRAL LOAD), TARGETED ONLINE RECRUITMENT BY RACE AND ETHNICITY TO ENROLL EQUAL NUMBERS OF HIV+ WHITE, BLACK AND HISPANIC MSM, AND A COST AND COST-EFFECTIVENESS ANALYSIS TO DETERMINE HEALTH-RELATED COST SAVINGS. THE INTERVENTION AND CONTROL ARMS WILL BOTH RECEIVE 10 VIDEOS. TO DATE, PHS HAS PRODUCED A SIX-EPISODE HIV PREVENTION VIDEO SERIES TITLED JUST A GUY THAT WILL BE DELIVERED AS PART OF THE INTERVENTION ARM OF THE STUDY. THE REMAINING INTERVENTION VIDEOS ARE BEING EDITED FROM HIV BIG DEAL'S ASK ME, TELL ME VIDEOS AND FROM FRED SAYS (A CHARITABLE ORGANIZATION FOR HIV+ YOUTH). TEN CONTROL VIDEOS HAVE BEEN SELECTED FROM VIMEO AND ARE HEALTH-RELATED. FORM 990, PART III,LINE 4D: USING TECHNOLOGY TO MATCH YOUNG BLACK MSM TO HIV TESTING OPTIONS: THIS NIH GRANT, SUBMITTED BY THE NEW YORK BLOOD CENTER, WAS FUNDED IN 2013. PHS HAS A SUBCONTRACT ON THIS GRANT. THE AIMS OF THE GRANT ARE: 1) TO DEVELOP A BRIEF INTERNET-BASED INTERVENTION FOR YOUNG, HIV-NEGATIVE OR NEVER-TESTED BLACK MSM AND TRANSGENDER WOMEN OPTIMIZED FOR MOBILE DEVICES (E.G., SMART PHONES, TABLETS) TO INCREASE HIV TESTING. THE INTERVENTION WILL USE AN ASSESSMENT AND ALGORITHM TO PROVIDE MEN WITH A TAILORED RECOMMENDATION OF THEIR OPTIMAL HIV TESTING APPROACH; AND 2) TO PILOT TEST THE INTERVENTION USING A THREE-ARM RANDOMIZED STUDY DESIGN TO ESTIMATE ITS POTENTIAL EFFICACY COMPARED TO CONTROL CONDITIONS IN INCREASING THE PROPORTION OF YOUNG BLACK MSM OR TRANSGENDER WOMEN WHO TEST OVER SIX MONTHS. PHASE 1A (IN-PERSON INTERVIEWS) HAS BEEN COMPLETED BY COLLABORATORS FROM THE NEW YORK BLOOD CENTER AND SUNY BINGHAMTON. SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE PROGRAM: HRSA FUNDED THE COMMUNITY HEALTHCARE NETWORK (CHN) TO IMPLEMENT THE TRANSGENDER WOMEN ENGAGEMENT AND ENTRY TO CARE PROJECT (TWEET CARE PROJECT) AT THE FAMILY HEALTH CENTER IN JAMAICA, QUEENS. THE TWEET CARE PROJECT IS A PEER-BASED MODEL OF OUTREACH AND ENGAGEMENT DESIGNED TO INCREASE ACCESS TO AND RETENTION IN QUALITY HIV PRIMARY CARE FOR NEW YORK CITY TRANSGENDER WOMEN OF COLOR WHO ARE NEWLY DIAGNOSED OR LOST TO CARE. MEMBERS OF THE TRANSGENDER COMMUNITY OFTEN ENCOUNTER A VARIETY OF CHALLENGES, STIGMAS, AND PREJUDICES WHEN ATTEMPTING TO ACCESS HEALTH CARE SERVICES, AND RESEARCH HIGHLIGHTS THE COMPLEXITIES AND CHALLENGES THAT CAN OCCUR WITHIN THE PROVIDER AND TRANSGENDER CLIENT RELATIONSHIP THAT CAN CONTRIBUTE TO A RELUCTANCE TO ENGAGE IN OR THE DISENGAGEMENT IN CARE. BY EMPOWERING TRANSGENDER INDIVIDUALS TO BECOME ADVOCATES AND EDUCATORS FOR THEIR PEERS THAT ARE NOT CURRENTLY RECEIVING CARE, THE TWEET CARE PROJECT AIMS TO REDUCE OR ELIMINATE THE INDIVIDUAL- AND SYSTEM-LEVEL BARRIERS THAT TRANSGENDER WOMEN OF COLOR OFTEN ENCOUNTER IN ACCESSING HEALTHCARE AND HIV TREATMENT. OVER THE FIVE-YEAR CONTRACT PERIOD, CHN AIMS TO RECEIVE 792 PROGRAM REFERRALS TO THE TWEET CARE PROJECT AND ENROLL 198 HIV+ TRANSGENDER WOMEN OF COLOR CLIENTS INTO HIV CARE. PUBLIC HEALTH SOLUTIONS IS CONDUCTING THE EVALUATION FOR THIS PROJECT IN ORDER TO DEFINE BEST PRACTICES FOR THE ENGAGEMENT, TRAINING, AND SUPPORT OF PATIENTS TO BECOME PEER LEADERS AND TO SUSTAIN IMPROVED HEALTH. STAPHYLOCOCCAL SKIN AND SOFT TISSUE INFECTIONS IN MSM: AN INTERNET-BASED QUANTITATIVE AND QUALITATIVE INVESTIGATION AND US-WIDE STUDY OF MOLECULAR EPIDEMIOLOGY: PHS RECENTLY COLLABORATED WITH COLUMBIA UNIVERSITY MEDICAL CENTER ON AN INTERNET HEALTH-RELATED SURVEY FOR MSM. COMMUNITY-ASSOCIATED METHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS (CA-MRSA) OR "STAPH" IS A MAJOR CAUSE OF SKIN AND SOFT TISSUE INFECTIONS (SSTIS) AND IS A SERIOUS PUBLIC HEALTH ISSUE. THESE INFECTIONS DISPROPORTIONATELY AFFECT MSM; HOWEVER, THIS PHENOMENON IS NOT WELL UNDERSTOOD AND IS UNDERSTUDIED. THIS STUDY WAS PERFORMED TO INFORM THE DESIGN OF AN EFFECTIVE ONLINE PREVENTION STRATEGY. FROM NOVEMBER 2013 TO JULY 2014, MSM WERE RECRUITED ONLINE (FOR A SURVEY, WITH SUB-STUDIES INCLUDING ONLINE FOCUS GROUPS, PHONE INTERVIEWS, AND SELF-SWABBING) TO: 1) IDENTIFY RISK FACTORS FOR STAPH INFECTIONS; 2) LEARN WHAT MSM KNOW ABOUT THESE INFECTIONS, WHERE THEY OBTAIN THEIR HEALTH INFORMATION AND DETERMINE WHICH INTERVENTIONS WOULD BE ACCEPTABLE; 3) EXPLORE MEN'S ATTITUDES TOWARDS AND EXPERIENCES WITH STAPH; AND 4) DESCRIBE THE STRAINS OF STAPH AND THEIR RESISTANCE TO ANTIBIOTICS THAT COLONIZE THE NOSE, GROIN, AND PERIANAL AREAS OF OUR PARTICIPANTS. THIS STUDY LAUNCHED IN NOVEMBER 2013. EVALUATION OF RAPID HIV SELF-TESTING AMONG MSM IN HIGH PREVALENCE CITIES (ESTAMP): GIVEN THE UNRELENTING HIV CRISIS AMONG MSM AND THE IMMINENT RELEASE INTO THE MARKET OF RAPID ORAL HIV SELF-TEST KITS, IT IS NECESSARY TO EVALUATE THE IMPACT OF PROVIDING RAPID ORAL HIV SELF-TEST KITS ON REPEAT HIV TESTING, LINKAGE TO CARE, PARTNER TESTING, SEROSORTING, AND HIV SEXUAL RISK BEHAVIORS AMONG MSM TO DETERMINE THE POTENTIAL PRIMARY AND SECONDARY PREVENTION EFFECTIVENESS OF OVER-THE-COUNTER (OTC) RAPID ORAL HIV SELF-TESTS. THIS CDC-SUPPORTED RESEARCH INITIATIVE WILL GUIDE THE DEVELOPMENT OF PUBLIC-HEALTH POLICY AND PROGRAMS ON THE DISSEMINATION AND USE OF OTC RAPID ORAL HIV SELF-TESTS AND WILL ASSIST IN DEVELOPING FUTURE RESEARCH AND PROGRAM NEEDS CONCERNING SELF-TESTING FOR MSM TO HELP IDENTIFY UNDIAGNOSED CASES OF HIV INFECTION AND PROMOTE LINKAGE TO CARE. MANILA CONSULTING GROUP IS COLLABORATING WITH PUBLIC HEALTH SOLUTIONS, EMORY UNIVERSITY AND NORTHWESTERN UNIVERSITY IN THIS STUDY. PHASE ONE OF THE STUDY HAS BEEN COMPLETED; FOCUS GROUPS AND IN-DEPTH INTERVIEWS CONDUCTED IN ATLANTA AND CHICAGO ASSESSED: 1) RESPONDENTS' WILLINGNESS TO PARTICIPATE IN AN ONLINE INTERVENTION STUDY; 2) THE ACCEPTABILITY OF HOME RAPID HIV TESTING; 3) RESPONDENTS' OPINIONS ABOUT THE STUDY MATERIALS, PACKAGING AND INSTRUCTIONS FOR CONDUCTING SELF-TEST ACTIVITIES. FINDINGS FROM PHASE ONE ARE CURRENTLY BEING ANALYZED. PHASE TWO OF THE STUDY HAS ALSO BEEN COMPLETED: UNDER CONTROLLED CONDITIONS, THE USE OF THE SELF-TEST MATERIALS AND DRIED BLOOD SPOT (DBS) COLLECTION BY PARTICIPANTS WAS EVALUATED TO ASSESS THE EXTENT TO WHICH UNTRAINED USERS CAN PROFICIENTLY CONDUCT TESTING PROCEDURES WITH THE USE OF PROVIDED PRINTED AND VIDEO INSTRUCTIONS. PARTICIPANT TESTING PROCEDURES WERE OBSERVED BY TRAINED HIV COUNSELORS WHO ALSO VERIFIED PARTICIPANTS' RESULTS. FOR QUALITY CONTROL PURPOSES, PHASE TWO INCLUDED MSM KNOWN TO BE HIV-POSITIVE. FINDINGS FROM PHASE TWO ARE CURRENTLY BEING ANALYZED. THE GOAL OF PHASE THREE WAS TO EVALUATE THE PERFORMANCE OF THE HIV SELF-TEST KITS BY MSM IN REAL WORLD SETTINGS BY SENDING PARTICIPANTS (RECRUITED ONLINE) A PACKAGE CONTAINING TEST KITS AND A DBS SPECIMEN COLLECTION KIT WITH PACKAGING FOR SPECIMEN TRANSPORT, THEN COMPARING THE USER-ADMINISTERED AND INTERPRETED RAPID HIV SELF-TEST RESULTS TO A STANDARD OF A LABORATORY-ADMINISTERED IMMUNOASSAY (IA). REPRODUCTIVE HEALTH RESEARCH REDUCING THE BURDEN OF TEEN & UNINTENDED PREGNANCY IN THE SOUTHWEST BRONX -- IMPROVING ACCESS & DECISION-MAKING: THIS ONE-YEAR PROJECT WAS FUNDED BY THE NEW YORK COMMUNITY TRUST IN JULY 2014, EXPANDING THE RESEARCH UNIT'S PREVIOUS WORK WITH ITS INTERACTIVE, ONLINE, BILINGUAL CONTRACEPTIVE DECISION-MAKING APP FROM THE CLINICAL SETTING TO THE COMMUNITY SETTING. THE COMMUNITY-BASED INTERVENTION IS BEING IMPLEMENTED IN THE SOUTH BRONX, WHICH INCLUDES NEIGHBORHOODS WITH THE HIGHEST PROPORTION OF TEEN PREGNANCIES IN NEW YORK CITY. THIS PROJECT AIMS TO ESTABLISH COMMUNITY PARTNERSHIPS AND CLINICAL LINKAGES IN THE SOUTH BRONX TO REACH TEENS AND YOUNG WOMEN, AND DISSEMINATE INFORMATION ABOUT THE APP TO HELP TEENS AND YOUNG WOMEN ACCESS REPRODUCTIVE HEALTH CARE. LINKAGES HAVE BEEN MADE WITH COMMUNITY AND CLINICAL PARTNERS, INCLUDING THE NYC HEALTH & HOSPITALS CORPORATION. REDESIGN AND REPROGRAMMING OF THE CONTRACEPTIVE APP IS COMPLETED. FIELD TESTING IS UNDERWAY. THE LINK TO THE APP WAS SHARED WITH ALL PHS STAFF FOR TESTING AND THEN LAUNCHED PUBLICLY. FORM 990, PART III,LINE 4D: SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE PROGRAM (SPNS): COMMUNITY HEALTHCARE NETWORK (CHN) WAS FUNDED TO IMPLEMENT THE TRANSGENDER WOMEN ENGAGEMENT AND ENTRY TO CARE PROJECT (TWEET CARE PROJECT) AT THE FAMILY HEALTH CENTER IN JAMAICA, QUEENS. THE TWEET CARE PROJECT IS A PEER-BASED MODEL OF OUTREACH AND ENGAGEMENT DESIGNED TO INCREASE ACCESS TO AND RETENTION IN QUALITY HIV PRIMARY CARE FOR NYC TRANSGENDER WOMEN OF COLOR WHO ARE NEWLY DIAGNOSED OR LOST TO CARE. MEMBERS OF THE TRANSGENDER COMMUNITY OFTEN ENCOUNTER A VARIETY OF CHALLENGES, STIGMAS, AND PREJUDICES WHEN ATTEMPTING TO ACCESS HEALTH CARE SERVICES, AND RESEARCH HIGHLIGHTS THE COMPLEXITIES AND CHALLENGES THAT CAN OCCUR WITHIN THE PROVIDER AND TRANSGENDER CLIENT RELATIONSHIP THAT CAN CONTRIBUTE TO A RELUCTANCE TO ENGAGE IN OR THE DISENGAGEMENT IN CARE. BY EMPOWERING TRANSGENDER INDIVIDUALS TO BECOME ADVOCATES AND EDUCATORS FOR THEIR PEERS THAT ARE NOT CURRENTLY RECEIVING CARE, THE TWEET CARE PROJECT AIMS TO REDUCE OR ELIMINATE THE INDIVIDUAL- AND SYSTEM-LEVEL BARRIERS THAT TRANSGENDER WOMEN OF COLOR OFTEN ENCOUNTER IN ACCESSING HEALTHCARE AND HIV TREATMENT. PUBLIC HEALTH SOLUTIONS IS CONDUCTING THE EVALUATION OF THIS PROJECT IN ORDER TO DEFINE BEST PRACTICES FOR THE ENGAGEMENT, TRAINING, AND SUPPORT OF PEERS. USING TECHNOLOGY TO MATCH YOUNG BLACK MSM TO HIV TESTING OPTIONS: THIS IS A FOUR-YEAR NIH GRANT LED BY THE NEW YORK BLOOD CENTER WITH PHS AS A SUBCONTRACTOR. THE AIMS OF THE GRANT ARE: 1) TO DEVELOP A BRIEF INTERNET-BASED INTERVENTION FOR YOUNG, HIV-NEGATIVE OR NEVER-TESTED BLACK MSM AND TRANSGENDER WOMEN, OPTIMIZED FOR MOBILE DEVICES (E.G., SMART PHONES, TABLETS) TO INCREASE HIV TESTING (THE INTERVENTION WILL USE AN ASSESSMENT AND ALGORITHM TO PROVIDE MEN WITH A TAILORED RECOMMENDATION OF THEIR OPTIMAL HIV TESTING APPROACH); AND 2) TO PILOT TEST THE INTERVENTION USING A THREE-ARM RANDOMIZED STUDY DESIGN TO ESTIMATE ITS POTENTIAL EFFICACY COMPARED TO CONTROL CONDITIONS IN INCREASING THE PROPORTION OF YOUNG BLACK MSM OR TRANSGENDER WOMEN WHO TEST OVER SIX MONTHS. STAPHYLOCOCCAL AND SOFT TISSUE INFECTIONS IN MSM: AN INTERNET-BASED QUANTITATIVE AND QUALITATIVE INVESTIGATION AND US-WIDE STUDY OF MOLECULAR EPIDEMIOLOGY: PHS RECENTLY COLLABORATED WITH COLUMBIA UNIVERSITY MEDICAL CENTER ON AN INTERNET HEALTH-RELATED SURVEY FOR MSM. COMMUNITY-ASSOCIATED METHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS (CA-MRSA) OR "STAPH" IS A MAJOR CAUSE OF SKIN AND SOFT TISSUE INFECTIONS (SSTIS) AND IS A SERIOUS PUBLIC HEALTH ISSUE. THESE INFECTIONS DISPROPORTIONATELY AFFECT MSM; HOWEVER, THIS PHENOMENON IS NOT WELL UNDERSTOOD AND IS UNDERSTUDIED. THIS STUDY WAS PERFORMED TO INFORM THE DESIGN OF AN EFFECTIVE ONLINE PREVENTION STRATEGY. FROM NOVEMBER 2013 TO JULY 2014, MSM WERE RECRUITED ONLINE (FOR A SURVEY, WITH SUB-STUDIES INCLUDING ONLINE FOCUS GROUPS, PHONE INTERVIEWS, AND SELF-SWABBING) TO: 1) IDENTIFY RISK FACTORS FOR STAPH INFECTIONS; 2) LEARN WHAT MSM KNOW ABOUT THESE INFECTIONS, WHERE THEY OBTAIN THEIR HEALTH INFORMATION AND DETERMINE WHICH INTERVENTIONS WOULD BE ACCEPTABLE; 3) EXPLORE MEN'S ATTITUDES TOWARDS AND EXPERIENCES WITH STAPH; AND 4) DESCRIBE THE STRAINS OF STAPH AND THEIR RESISTANCE TO ANTIBIOTICS THAT COLONIZE THE NOSE, GROIN, AND PERIANAL AREAS OF OUR PARTICIPANTS. REPRODUCTIVE HEALTH: REDUCING THE BURDEN OF TEEN & UNINTENDED PREGNANCY IN THE SOUTHWEST BRONX: IMPROVING ACCESS AND DECISION-MAKING: THIS ONE-YEAR PROJECT, FUNDED BY THE NEW YORK COMMUNITY TRUST IN JULY 2014, IS EXPANDING THE RESEARCH UNIT'S PREVIOUS WORK WITH ITS INTERACTIVE, ONLINE, BILINGUAL CONTRACEPTIVE DECISION-MAKING APP FROM THE CLINICAL SETTING TO THE COMMUNITY SETTING. THE COMMUNITY-BASED INTERVENTION WILL BE IMPLEMENTED IN THE SOUTH BRONX, WHICH INCLUDES NEIGHBORHOODS WITH THE HIGHEST PROPORTION OF TEEN PREGNANCIES IN NEW YORK CITY. THIS PROJECT WILL ESTABLISH COMMUNITY PARTNERSHIPS AND CLINICAL LINKAGES IN THE SOUTH BRONX TO REACH TEENS AND YOUNG WOMEN, AND DISSEMINATE INFORMATION ABOUT THE CONTRACEPTIVE DECISION-MAKING APP TO HELP TEENS AND YOUNG WOMEN ACCESS REPRODUCTIVE HEALTH CARE.